Organization
ETHAN ERWIN DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN ERWIN DDS (OWNER)
(501) 282-1098
Entity
Organization
Contact information
Practice address
102 RIDGEWAY ST, HOT SPRINGS, AR 71901-7100
(501) 624-7129
Mailing address
102 RIDGEWAY ST, HOT SPRINGS, AR 71901-7100
(501) 624-7129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240820608
—
AR
Enumeration date
06/02/2021
Last updated
06/02/2021
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