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Individual

LINDSAY BETHEL EASTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MS PA

Contact information

Practice address
1906 G 59TH ST WEST, BRADENTON, FL 34209
(941) 792-3899
(941) 792-3778
Mailing address
1906 G 59TH ST WEST, BRADENTON, FL 34209
(941) 792-3899
(941) 792-3778

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN0008088
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
421692
UNITED CONCORDIA
Enumeration date
02/27/2007
Last updated
07/08/2007
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