Roger G. Ettel D.d.s. & Associates, PA
NPI #1194887521 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1194887521
- Entity Type
- Organization
- Organization Name
- Roger G. Ettel D.d.s. & Associates, PA
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Jul 30, 2008
Practice Location
- Address
- 4801 HIGHWAY 61 N # SU-300
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-2737
- Phone
- (651) 429-2299
Authorized Official
- Name
- DR. ROGER G ETTEL, D.D.S.,M.S.
- Title
- OWNER
- Phone
- (651) 429-2299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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