Philip Evan Mckenzie, DDS, MS, FRCDC Valid NPI

Individual provider · Endodontics · Coon Rapids, MN

NPI

1619385556

Type

Individual (Type 1)

Primary specialty

Endodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223E0200X

License number

D13597 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2014-07-23

Last updated

2020-12-07