ETHAN MOULTON, D.D.S.,M.S.
Dentist - Periodontics
Active
Individual
NPI: 1740222579
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 5588 (OK) |
| Dentist - Periodontics | 1223P0300X | Yes | D-4093-PE (ID) |
Frequently Asked Questions
NPI 1740222579 is the National Provider Identifier for ETHAN MOULTON, D.D.S.,M.S., a Dentist - Periodontics provider located in Idaho Falls, ID. This NPI was enumerated on June 13, 2006.
ETHAN MOULTON, D.D.S.,M.S. practices at 2375 E SUNNYSIDE RD STE I, Idaho Falls, ID 83404.
Quick Facts
- NPI
- 1740222579
- Type
- Individual
- Enumerated
- Jun 13, 2006
- Last Updated
- Sep 16, 2007
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