Individual
DR. DENA MICHELLE EASTERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3111 SOUTH KIMBROUGH AVENUE, SPRINGFIELD, MO 65807-5011
(417) 887-5661
(417) 889-6814
Mailing address
3111 SOUTH KIMBROUGH AVENUE, SPRINGFIELD, MO 65807-5011
(417) 887-5661
(417) 889-6814
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15517
MS
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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