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Individual
DR. ETHAN HAMER
Active
Individual
DR. ETHAN HAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
151198
NC
1223E0200X
Endodontics
Primary
12012985A
IN
Other
Enumeration date
06/28/2018
Last updated
07/09/2021
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