Individual
DR. DONNA JANE ETESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2601 OCEAN PARK BLVD, SUITE 304, SANTA MONICA, CA 90405-5215
(310) 581-5757
(310) 581-5759
Mailing address
2601 OCEAN PARK BLVD, SUITE 304, SANTA MONICA, CA 90405-5215
(310) 581-5757
(310) 581-5759
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
27124
CA
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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