person
Dr. John W Etzenbach, DDS
Periodontist in Tripler Amc, Hawaii
NPI 1790740322

John W Etzenbach is a Periodontist based in Tripler Amc, HI and is specialized in Periodontics. John W Etzenbach practices in Tripler Amc, HI and has the professional credentials of DDS. The NPI Number for John W Etzenbach is 1790740322 and holds a License No. 019018177 (Hawaii).

The current practice location address for John W Etzenbach is 1 Jarrett White Rd Bldg 320, Tripler Amc, HI and can be reached out via phone at 808-433-9200 and via fax at 808-433-9194.

Location: 1 Jarrett White Rd Bldg 320, Tripler Amc, HI, 96859-5001
person
Provider Profile Details
NPI Number
1790740322
Provider Name
John W Etzenbach
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1 Jarrett White Rd Bldg 320, Tripler Amc, HI, 96859-5001
Phone Number
808-433-9200
Fax Number
808-433-9194
Provider Enumeration Date
04/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1 Jarrett White Rd Bldg 320
City
State
Zip
96859-5001
Phone Number
808-433-9200
Fax Number
808-433-9194
person
Provider Business Mailing Address Details
Address
1 Jarrett White Rd Bldg 320
City
State
Zip
96859-5001
Phone Number
808-433-9200
Fax Number
808-433-9194
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
019018177 (Illinois)
Definition
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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