Individual
ETHAN JON BREKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1432 LONDON RD, DULUTH, MN 55805-2425
(218) 728-5095
Mailing address
220 W 7TH ST, DULUTH, MN 55806-2512
(218) 234-8823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14446
MN
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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