| NPI | 1548986441 |
|---|---|
| Doing Business As | EASTMAN CRAIGHEAD PERIODONTICS & IMPLANTS - LAKEWOOD RANCH |
| Entity Type | Organization |
| Authorized Contact | ROBERT L DEMINT Credentialing Coordinator 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 |