| NPI | 1841675030 |
|---|---|
| Former Name | DANIELLE ELIZABETH EASTERLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401415564) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0442000240) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2022-07-21 |