Individual
ETAN AUSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5607 NW 27TH AVE, MIAMI, FL 33142-2826
(917) 566-1308
Mailing address
7810 LAGO DEL MAR DR APT 113, BOCA RATON, FL 33433-4911
(917) 566-1308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN25059
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2020
Last updated
06/27/2023
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