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Ty Etheridge, D.D.S
NPI 1720202401 · on the registry since 2007
Practice
- Address
- 3130 E Madison St
Suite 103
Seattle, WA 98112 - Phone
- (206) 323-0990
- Fax
- (206) 323-0977
- Organisation at this address
- Etheridge Family Dentistry
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington