Individual
DR. JANICE MARIAN ETHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5464 PINE LN, BOX 316, ROSCOE, IL 61073-7313
(815) 623-6000
(815) 623-9783
Mailing address
5464 PINE LN, BOX 316, ROSCOE, IL 61073-7313
(815) 623-6000
(815) 623-9783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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