DR. John W Etzenbach, DDS

NPI #1790740322 in Tripler Amc, Hawaii

Provider Information

NPI Number
1790740322
Entity Type
Individual
Name
DR. John W Etzenbach, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Periodontics
Credential
DDS
Enumeration Date
Apr 18, 2006
Last Updated
Feb 5, 2015

Practice Location

Address
1 JARRETT WHITE RD BLDG 320
Address 2
US ARMY DENTAL ACTIVITY
State
Hawaii
ZIP Code
96859-5001
Phone
(808) 433-9200

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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