Individual
DR. ETHAN MITCHELL BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
173 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-2101
Mailing address
173 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-2101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10156
SC
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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