Individual
DR. PRECIOUS ETTAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
311 NH-108, SOMERSWORTH, NH 03878
(603) 749-2346
Mailing address
3800 CHESTERWOOD DR, SILVER SPRING, MD 20906-2861
(256) 529-0855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
04665
NH
1223G0001X
General Practice Dentistry
16963
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2018
Last updated
10/17/2022
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