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John Etzenbach, DDS
NPI 1790740322 · on the registry since 2006
Practice
- Address
- 1 Jarrett White Rd Bldg 320
Us Army Dental Activity
Tripler Amc, HI 96859 - Phone
- (808) 433-9200
- Fax
- (808) 433-9194
- Organisation at this address
- Amc Tripler-Shafter
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 558
Registry record
- Primary taxonomy
- Periodontics
1223P0300X
- Also registered as
- Periodontics
Periodontics - Licence states on file
- IL, HI, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii