Provider Demographics
NPI:1831272798
Name:ETON, BARRY (DDS)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:ETON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:BARRY
Other - Middle Name:HERBERT
Other - Last Name:EPSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:11657 CHENAULT ST
Mailing Address - Street 2:#102
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-4557
Mailing Address - Country:US
Mailing Address - Phone:310-471-7073
Mailing Address - Fax:
Practice Address - Street 1:435 N BEDFORD DR
Practice Address - Street 2:#111
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4321
Practice Address - Country:US
Practice Address - Phone:310-276-6151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29586122300000X
NV4659T122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist