DR. Michael W. Etter, D.D.S.

NPI #1659586196 in Medford, New Jersey

Provider Information

NPI Number: 1659586196
Entity Type: Individual
Name: DR. Michael W. Etter, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 239 TAUNTON BLVD STE C
City: Medford
State: New Jersey
ZIP Code: 08055-3471
Phone: (856) 985-4646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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