Organization · Type 2 NPI

Patrick J Ennen DDS PA

Dental Clinic/Center · Coon Rapids, MN

NPI number 1346393485 Active

Practice location

3960 Coon Rapids Blvd NW, 213
Coon Rapids, MN 55433-2569

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X7668 (MN)

Dental Clinic/Center: Definition to come...

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About NPI 1346393485

Patrick J Ennen DDS PA's National Provider Identifier is 1346393485, issued on Jan 20, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Coon Rapids, MN. The record was last updated on Aug 22, 2020.