Organization
MIKE ENICH DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R. ENICH JR. DDS (OWNER/DENTIST)
(218) 263-8348
Entity
Organization
Contact information
Practice address
2005 8TH AVE E, HIBBING, MN 55746-1707
(218) 263-8348
Mailing address
2005 8TH AVE E, HIBBING, MN 55746-1707
(218) 263-8348
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10611
MN
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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