ETHAN EDMINSTEN

OMAHA, NE
NPI1235606773
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NM  DD4987)
Enumeration Date2018-11-01
Last Update Date2018-11-01
Business Address
Dr. ETHAN EDMINSTEN DDS
4400 EMILE ST
OMAHA, NE 68198-0600
Phone number: 402-559-6000
Mailing Address
Dr. ETHAN EDMINSTEN DDS
113 S 38TH ST APT 255
COUNCIL BLUFFS, IA 51501-3386
Phone number: 505-702-4431
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