Individual
ETHAN C WILSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2130 S EAGLE RD # 2132, NEWTOWN, PA 18940-1579
(215) 860-6700
Mailing address
2130 S EAGLE RD # 2132, NEWTOWN, PA 18940-1579
(570) 404-5625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042392
PA
Other
Enumeration date
05/15/2019
Last updated
03/10/2023
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