Individual provider · Type 1 NPI
Bruce Jay Etkin, DDS, CAGS
Prosthodontics · Scottsdale, AZ
NPI number
1629376009
Active
Practice location
7181 E Camelback Rd, Apt 1201
Scottsdale, AZ 85251-1279
Fax (480) 991-2474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 2188 (AZ) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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About NPI 1629376009
Bruce Jay Etkin, DDS, CAGS's National Provider Identifier is 1629376009, issued on Mar 8, 2011. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Scottsdale, AZ. The record was last updated on Mar 8, 2011.