Individual
CHRISTOPHER GLENN EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2765 CROSSROADS BLVD, WATERLOO, IA 50702
(315) 454-6000
Mailing address
PO BOX 3189, SYRACUSE, NY 13220
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08548
IA
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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