| NPI | 1225754062 |
|---|---|
| Doing Business As | EASTMAN CRAIGHEAD PERIO & IMPLANTS NWB |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MUSCARO Owner 813-692-2200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2025-08-29 |