Individual
DR. PATRICK JOSEPH ENNEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3960 COON RAPIDS BLVD NW, SUITE 213, COON RAPIDS, MN 55433-2569
(763) 427-4912
(763) 427-0771
Mailing address
3960 COON RAPIDS BLVD NW, SUITE 213, COON RAPIDS, MN 55433-2569
(763) 427-4912
(763) 427-0771
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7668
MN
Other
Enumeration date
04/29/2006
Last updated
07/08/2007
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