Individual
DR. ETHAN MITCHELL ENNEKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
117 BURNETT CT, WOODWAY, TX 76712-3100
(254) 848-0240
Mailing address
8305 FORSYTHIA DR, MCKINNEY, TX 75072-6772
(214) 773-7031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40568
TX
Other
Enumeration date
04/09/2024
Last updated
06/27/2024
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