Individual
DR. PATRICIA ANN KONING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15785 95TH AVE N, MAPLE GROVE, MN 55369-4404
(763) 233-4141
Mailing address
15785 95TH AVE N, MAPLE GROVE, MN 55369-4404
(763) 233-4141
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
016.0046369
VT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019.028235
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901018845
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE 60145015
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
S130
MN
Other
Enumeration date
11/14/2007
Last updated
07/12/2024
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