institution
Ethan Grounds Dmd Pc
Dental Clinic/Center in Harrisburg, Illinois
NPI 1073382099

Ethan Grounds Dmd Pc is a Dental Clinic/Center based in Harrisburg, IL and is specialized in Dental. Ethan Grounds Dmd Pc practices in Harrisburg, IL. The NPI Number for Ethan Grounds Dmd Pc is 1073382099 and holds a License No. (Illinois).

The current practice location address for Ethan Grounds Dmd Pc is 300 Small St Ste D, Harrisburg, IL and can be reached out via phone at 618-252-1725.

Location: 300 Small St Ste D, Harrisburg, IL, 62946
institution
Provider Profile Details
NPI Number
1073382099
Provider Name
Ethan Grounds Dmd Pc
Credential
Provider Entity Type
Organization
Address
300 Small St Ste D, Harrisburg, IL, 62946
Phone Number
618-252-1725
Fax Number
Provider Enumeration Date
01/02/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
300 Small St Ste D
City
State
Zip
62946-3325
Phone Number
618-252-1725
Fax Number
person
Provider Business Mailing Address Details
Address
300 Small St Ste D
City
State
Zip
62946-3325
Phone Number
618-252-1725
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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