Individual
DR. MIKE J ENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 HIGHWAY 96 W, SUITE #400, SHOREVIEW, MN 55126-1962
(651) 482-7564
(651) 482-0349
Mailing address
520 HIGHWAY 96 W, SUITE #400, SHOREVIEW, MN 55126-1962
(651) 482-7564
(651) 482-0349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AE2170974
MN
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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