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Ethan Just
General Practice Dentistry in Manitowoc, Wisconsin
NPI 1467225367

Ethan Just is a General Practice Dentistry based in Manitowoc, WI and is specialized in General Practice. Ethan Just practices in Manitowoc, WI. The NPI Number for Ethan Just is 1467225367 and holds a License No. 6001067-15 (Wisconsin).

The current practice location address for Ethan Just is 1732 Blue Heron Rd, Manitowoc, WI and can be reached out via phone at 920-629-1096.

Location: 1732 Blue Heron Rd, Manitowoc, WI, 54220-9445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467225367
Provider Name
Ethan Just
Credential
Provider Entity Type
Individual
Gender
Male
Address
1732 Blue Heron Rd, Manitowoc, WI, 54220-9445
Phone Number
920-629-1096
Fax Number
Provider Enumeration Date
11/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1732 Blue Heron Rd
City
Manitowoc
State
Wisconsin
Zip
54220-9445
Phone Number
920-629-1096
Fax Number
person
Provider Business Mailing Address Details
Address
1732 Blue Heron Rd
City
Manitowoc
State
Wisconsin
Zip
54220-9445
Phone Number
920-629-1096
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6001067-15 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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