DR. Ethan Shagar Kaufman, DDS

NPI #1124036686 in Longview, Washington

Provider Information

NPI Number: 1124036686
Entity Type: Individual
Name: DR. Ethan Shagar Kaufman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1230 7TH AVE
City: Longview
State: Washington
ZIP Code: 98632-3166
Phone: (360) 575-4801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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