Provider Demographics
NPI:1689704181
Name:EASTLAND-VIEREGGER, CATHERINE ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ELIZABETH
Last Name:EASTLAND-VIEREGGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:ELIZABETH
Other - Last Name:EASTLAND-VIEREGGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7960 S UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3166
Mailing Address - Country:US
Mailing Address - Phone:303-770-1116
Mailing Address - Fax:
Practice Address - Street 1:7960 S UNIVERSITY BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-3166
Practice Address - Country:US
Practice Address - Phone:303-770-1116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO81221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice