Individual
DR. JEFFREY WALDEMAR EASTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
32123 GRATIOT AVE, ROSEVILLE, MI 48066-1147
(888) 629-5162
Mailing address
32123 GRATIOT AVE, ROSEVILLE, MI 48066-1147
(888) 629-5162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022089
MI
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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