Individual
DR. JOHN ROBERT BETTINESCHI JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4881 SUGAR MAPLE DR, 88MDG/SGD, WRIGHT PATTERSON AFB, OH 45433-5546
(937) 257-8761
Mailing address
2274 CHARLESTON WAY, BEAVERCREEK, OH 45431-2692
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-7233
OH
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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