Ethan W Slater

NPI #1871294306 in Minot Afb, North Dakota

Provider Information

NPI Number: 1871294306
Entity Type: Individual
Name: Ethan W Slater
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 13, 2023
Last Updated: Sep 6, 2024

Practice Location

Address: 10 MISSILE AVE
City: Minot Afb
State: North Dakota
ZIP Code: 58705-5003
Phone: (719) 333-5192

Specialties & Taxonomy Codes

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

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