| Ethan Madison, DDS Inc | |
|
350 S Beverly Dr Ste 160 Beverly Hills CA 90212-4815 | |
| (310) 713-9548 | |
| Not Available |
| Full Name | Ethan Madison, DDS Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 350 S Beverly Dr Ste 160, Beverly Hills, California |
| Authorized Official Name and Position | Ethan Sean Madison (PRESIDENT) |
| Authorized Official Contact | 3107139548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Madison, DDS Inc 350 S Beverly Dr Ste 160 Beverly Hills CA 90212-4815 Ph: (310) 713-9548 | Ethan Madison, DDS Inc 350 S Beverly Dr Ste 160 Beverly Hills CA 90212-4815 Ph: (310) 713-9548 |
| NPI Number | 1285556563 |
|---|---|
| Provider Enumeration Date | 07/28/2026 |
| Last Update Date | 08/11/2026 |
| Certification Date | 08/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285556563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | () | Primary |
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