Organization
BARRY E ETTELSON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY E ETTELSON DDS (PRESIDENT DENTIST)
(856) 227-2554
Entity
Organization
Contact information
Practice address
900 ROUTE 168 STE I6, WASHINGTON PROFESSIONAL CAMPUS, TURNERSVILLE, NJ 08012-3212
(856) 227-2554
(856) 227-4066
Mailing address
900 ROUTE 168 STE I6, WASHINGTON PROFESSIONAL CAMPUS, TURNERSVILLE, NJ 08012-3212
(856) 227-2554
(856) 227-4066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08424
NJ
1223G0001X
General Practice Dentistry
D5015997L
PA
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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