NPI | 1225754062 |
---|---|
Doing Business As | EASTMAN CRAIGHEAD PERIODONTICS & IMPLANTS - BRADENTON |
Entity Type | Organization |
Authorized Contact | ROBERT L DEMINT Credentialing 813-692-2205 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
Enumeration Date | 2022-10-13 |
Last Update Date | 2024-08-14 |