Individual
DR. JEFFREY MARC ETESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
245 HILLSIDE AVE, WILLISTON PARK, NY 11596-2240
(516) 253-1800
Mailing address
25 COVES RUN, SYOSSET, NY 11791-1008
(516) 938-4987
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
47537-1
NY
Other
Enumeration date
08/18/2009
Last updated
02/04/2015
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