| NPI | 1497159826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GERARD EASTBURN Owner /Dentist 251-344-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL AL4429) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |