Individual
DR. ETHAN SILVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7827 N WICKHAM RD, MELBOURNE, FL 32940-8289
(321) 434-4444
Mailing address
4655 LAKE WASHINGTON RD, MELBOURNE, FL 32934-7660
(321) 987-3226
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23738
FL
Other
Enumeration date
07/29/2018
Last updated
07/29/2018
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