Individual
DR. LONNIE DEWAYNE EASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5541 NW 86TH ST, SUITE 100, JOHNSTON, IA 50131-1730
(515) 276-2500
(515) 276-2226
Mailing address
5541 NW 86TH ST, SUITE 100, JOHNSTON, IA 50131-1730
(515) 276-2500
(515) 276-2226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IA 7520
IA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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