Individual
ARJAY J ETZELMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3200 PINE LAKE RD, SUITE C, LINCOLN, NE 68516-6035
(402) 420-2266
(402) 420-2310
Mailing address
3200 PINE LAKE RD, SUITE C, LINCOLN, NE 68516
(402) 420-2266
(402) 420-2310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5962
NE
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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