Ethan Grounds Dmd PC
NPI #1073382099 in Harrisburg, Illinois
Provider Information
- NPI Number
- 1073382099
- Entity Type
- Organization
- Organization Name
- Ethan Grounds Dmd PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 2, 2024
- Last Updated
- Jan 2, 2024
Practice Location
- Address
- 300 SMALL ST STE D
- City
- Harrisburg
- State
- Illinois
- ZIP Code
- 62946-3325
- Phone
- (618) 252-1725
Authorized Official
- Name
- DR. ETHAN GROUNDS, DMD
- Title
- DR.
- Phone
- (618) 889-0606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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