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Organization
ETHAN MADISON, DDS INC
Active
Organization
ETHAN MADISON, DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN SEAN MADISON DDS (PRESIDENT)
(310) 713-9548
Entity
Organization
Contact information
Practice address
350 S BEVERLY DR STE 160, BEVERLY HILLS, CA 90212-4815
(310) 713-9548
Mailing address
350 S BEVERLY DR STE 160, BEVERLY HILLS, CA 90212-4815
(310) 713-9548
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
07/28/2026
Last updated
08/11/2026
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