Ethan Duewer, DMD
NPI #1972023117 in Springfield, Illinois
Provider Information
- NPI Number
- 1972023117
- Entity Type
- Individual
- Name
- Ethan Duewer, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Jun 20, 2017
- Last Updated
- Jan 18, 2022
Practice Location
- Address
- 1140 RICKARD RD STE 1
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-6385
- Phone
- (217) 787-3096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist |
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