Patrick J Ennen Dds Pa | |
3960 Coon Rapids Blvd Nw 213 Coon Rapids MN 55433-2569 | |
(763) 427-4912 | |
Not Available |
Full Name | Patrick J Ennen Dds Pa |
---|---|
Speciality | Clinic/center - Dental |
Location | 3960 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
Authorized Official Name and Position | Patrick Joseph Ennen (PRESIDENT) |
Authorized Official Contact | 7634274912 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Patrick J Ennen Dds Pa 3960 Coon Rapids Blvd Nw 213 Coon Rapids MN 55433-2569 Ph: (763) 427-4912 | Patrick J Ennen Dds Pa 3960 Coon Rapids Blvd Nw 213 Coon Rapids MN 55433-2569 Ph: (763) 427-4912 |
NPI Number | 1346393485 |
---|---|
Provider Enumeration Date | 01/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346393485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 7668 (Minnesota) | Primary |
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› Verified 3 days ago
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