Individual provider · Type 1 NPI
John W. Etzenbach, DDS
Periodontics · Tripler Amc, HI
NPI number
1790740322
Active
Practice location
1 Jarrett White Rd Bldg 320, US Army Dental Activity
Tripler Amc, HI 96859-5001
Fax (808) 433-9194
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics | 1223P0300X | 019018177 (IL) |
| Periodontics Primary | 1223P0300X | 2192 (HI) |
| Periodontics | 1223P0300X | 52815 (CA) |
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.
3 other providers at this address
Other periodontics providers in Tripler Amc
About NPI 1790740322
John W. Etzenbach, DDS's National Provider Identifier is 1790740322, issued on Apr 18, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tripler Amc, HI. The record was last updated on Feb 5, 2015.