Individual
ETHAN J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
DDS
Contact information
Practice address
4031 BANKERS BLVD, WATERLOO, IA 50701-7900
(319) 232-9023
Mailing address
4031 BANKERS BLVD, WATERLOO, IA 50701-7900
(319) 232-9023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10363
IA
Other
Enumeration date
06/12/2025
Last updated
06/22/2025
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