Individual
DR. EASTON R DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5100 W COMMERCIAL BLVD, SUITE # 7, TAMARAC, FL 33319-2834
(954) 731-9922
(954) 731-7658
Mailing address
5100 W COMMERCIAL BLVD, SUITE # 7, TAMARAC, FL 33319-2834
(954) 731-9922
(954) 731-7658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0014433
FL
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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