Individual
DR. EMIL WILLIAM TETZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
804 S STATE ST, DOVER, DE 19901-4123
(302) 744-9900
(302) 744-9902
Mailing address
804 S STATE ST, DOVER, DE 19901-4123
(302) 744-9900
(302) 744-9902
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
G10001022
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000033719
—
DE
01
—
617755
UNITED CONCORDIA INS
—
Enumeration date
07/28/2006
Last updated
07/08/2007
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