DR. Ethan Foster Higson, D.M.D.

NPI #1497074231 in Chinle, Arizona

Provider Information

NPI Number: 1497074231
Entity Type: Individual
Name: DR. Ethan Foster Higson, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Dental Public Health
Credential: D.M.D.
Enumeration Date: May 19, 2010
Last Updated: Aug 10, 2011

Practice Location

Address: HIGHWAY 191 & HOSPITAL DRIVE
City: Chinle
State: Arizona
ZIP Code: 86503
Phone: (928) 674-7001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Dental Public Health — Dental Public Health	1223D0001X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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