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Noriko Etoh, DDS. MDSc.

Dentist, Periodontics in Philadelphia, PA. Individual provider (NPI-1).

NPI number1366162000
StatusActive
Last updated in NPPESOct 28, 2026

Details

NPI
1366162000
Entity type
Individual (NPI-1)
Name
Noriko Etoh
Credential
DDS. MDSc.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 1, 2022
Certification date
Oct 28, 2026
Last updated
Oct 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, PeriodonticsRFD000089PAYes

Practice location

3223 N Broad St
Philadelphia, PA 19140-5007

Phone 215-707-2900

Mailing address

416 Spring Garden St Apt 710
Philadelphia, PA 19123-4482

Phone 516-860-3375

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