ERIC JAMES ETHERIDGE

RAYTOWN, MO
NPI1881907343
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MO  2010016169)
Enumeration Date2010-07-26
Last Update Date2014-09-15
Business Address
Dr. ERIC JAMES ETHERIDGE dds
10800 E 77TH TER
RAYTOWN, MO 64138-2331
Phone number: 816-358-1122
Mailing Address
Dr. ERIC JAMES ETHERIDGE dds
10800 E 77TH TER
RAYTOWN, MO 64138-2331
Phone number: 816-358-1122
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