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Debra Ettle, D.D.S
NPI 1780724542 · on the registry since 2007
Practice
- Address
- 200 E Main St
Ada, MN 56510 - Phone
- (218) 784-7119
- Fax
- (218) 784-2381
- Organisation at this address
- Prairie Dental Centers Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- 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 Minnesota