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Individual

KIMBERLY C EASTERLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(804) 380-7489
Mailing address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204516
CO

Other

Enumeration date
03/24/2020
Last updated
08/19/2021
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