ETHAN GROUNDS DMD PC

HARRISBURG, IL
NPI1073382099
Entity TypeOrganization
Authorized ContactETHAN GROUNDS
Dr.
618-889-0606
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2024-01-02
Last Update Date2024-01-02
Business Address
ETHAN GROUNDS DMD PC
300 SMALL ST STE D
HARRISBURG, IL 62946-3325
Phone number: 618-252-1725
Mailing Address
ETHAN GROUNDS DMD PC
910 MARSHALL STREET
HARRISBURG, IL 62946
Phone number: 618-889-0606