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Organization

W. P. EASTMAN, D.D.S., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM P EASTMAN D.D.S. (PRESIDENT)
(662) 323-8065
Entity
Organization

Contact information

Practice address
100 BRANDON RD., STE. E, STARKVILLE, MS 39759
(662) 323-8065
(662) 323-8066
Mailing address
100 BRANDON RD., STE. E, STARKVILLE, MS 39759
(662) 323-8065
(662) 323-8066

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1477-72
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02581532
MS
Enumeration date
12/27/2007
Last updated
12/27/2007
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