Individual
ETHAN PERRY LIVERMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
150 W SEQUIM BAY RD, SEQUIM, WA 98382-8406
(360) 565-5066
Mailing address
150 W SEQUIM BAY RD, SEQUIM, WA 98382-8406
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61675458
WA
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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