DR. Eric James Etheridge, DDS

NPI #1881907343 in Raytown, Missouri

Provider Information

NPI Number: 1881907343
Entity Type: Individual
Name: DR. Eric James Etheridge, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 26, 2010
Last Updated: Sep 15, 2014

Practice Location

Address: 10800 E 77TH TER
City: Raytown
State: Missouri
ZIP Code: 64138-2331
Phone: (816) 358-1122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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