Individual provider · Type 1 NPI

Noriko Etoh, DDS. MDSC.

Periodontics · Philadelphia, PA

NPI number 1366162000 Active

Practice location

3223 N Broad St
Philadelphia, PA 19140-5007

Call (215) 707-2900 Map

Mailing address

416 Spring Garden St Apt 710
Philadelphia, PA 19123-4482

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XRFD000089 (PA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1366162000

Noriko Etoh, DDS. MDSC.'s National Provider Identifier is 1366162000, issued on Sep 1, 2022. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 28, 2026.