DR. Paul Edward Etchison, D.D.S.

NPI #1932334695 in New Lenox, Illinois

Provider Information

NPI Number
1932334695
Entity Type
Individual
Name
DR. Paul Edward Etchison, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
May 26, 2009
Last Updated
Mar 3, 2012

Practice Location

Address
820 LARAWAY RD
ZIP Code
60451-2694
Phone
(815) 524-6000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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