Organization
WILLIAM G EASTBURN DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GERARD EASTBURN SR. (OWNER /DENTIST)
(251) 344-2126
Entity
Organization
Contact information
Practice address
5368 ZEIGLER BLVD, MOBILE, AL 36608-4334
(251) 344-2126
(251) 344-2168
Mailing address
5368 ZEIGLER BLVD, MOBILE, AL 36608-4334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AL4429
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009987090
—
AL
Enumeration date
10/14/2014
Last updated
10/14/2014
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