Individual
DR. MICHAEL W. ETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
239 TAUNTON BLVD STE C, MEDFORD, NJ 08055-3471
(856) 985-4646
(856) 985-7483
Mailing address
239 TAUNTON BLVD STE C, MEDFORD, NJ 08055-3471
(856) 985-4646
(856) 985-7483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01373600
NJ
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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