DR. Janice Marian Ethington, DDS

NPI #1780885905 in Roscoe, Illinois

Provider Information

NPI Number: 1780885905
Entity Type: Individual
Name: DR. Janice Marian Ethington, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5464 PINE LN
Address 2: BOX 316
City: Roscoe
State: Illinois
ZIP Code: 61073-7313
Phone: (815) 623-6000

Specialties & Taxonomy Codes

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

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