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
- City
- Tripler Amc
- State
- Hawaii
- ZIP Code
- 96859-5001
- Phone
- (808) 433-9200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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