Individual
DR. PHILIP EVAN MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, FRCDC
Contact information
Practice address
3360 NORTHDALE BLVD NW, COON RAPIDS, MN 55448-1601
(763) 233-3322
Mailing address
2200 COUNTY ROAD C W STE 2210, ROSEVILLE, MN 55113-2551
(763) 233-3322
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D13597
MN
Other
Enumeration date
07/23/2014
Last updated
12/07/2020
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