Individual
ETHAN PATRICK DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9503 NE 2ND AVE, MIAMI SHORES, FL 33138-2704
(440) 991-7979
Mailing address
1717 E 9TH ST APT 2108, CLEVELAND, OH 44114-2823
(440) 991-7979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN28337
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2023
Last updated
07/07/2023
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