Nelson Ridge Family Dental
NPI #1306111349 in New Lenox, Illinois
Provider Information
- NPI Number
- 1306111349
- Entity Type
- Organization
- Organization Name
- Nelson Ridge Family Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 8, 2012
- Last Updated
- Mar 8, 2012
Practice Location
Authorized Official
- Name
- DR. PAUL E ETCHISON, DDS
- Title
- OWNER
- Phone
- (815) 524-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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