MEDICARE: DR. DAVID GUTHRIE FREEMAN II D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	47720	CA

General Provider Information

NPI Number	:	1023195617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID GUTHRIE FREEMAN II D.D.S.

Provider Business Mailing Address
First Line	:	3095 CLAIREMONT DR
Second Line	:	SUITE A1
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-6815
Country	:	US
Telephone Number	:	619-276-3283
Fax Number	:	619-276-3299

Provider Business Practice Location Address
First Line	:	3095 CLAIREMONT DR
Second Line	:	SUITE A1
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-6815
Country	:	US
Telephone Number	:	619-276-3283
Fax Number	:	619-276-3299

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/21/2022

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