ETHAN W SLATER

MINOT AFB, ND
NPI1871294306
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  DEN.00205630)
Enumeration Date2023-03-13
Last Update Date2024-09-06
Business Address
ETHAN W SLATER
10 MISSILE AVE
MINOT AFB, ND 58705-5003
Phone number: 719-333-5192
Mailing Address
ETHAN W SLATER
10 MISSILE AVE
MINOT AFB, ND 58705-5003
Phone number: 719-231-8122