DR. Ethan Mitchell Enneking, DDS

NPI #1427801570 in Woodway, Texas

Provider Information

NPI Number: 1427801570
Entity Type: Individual
Name: DR. Ethan Mitchell Enneking, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 9, 2024
Last Updated: Jun 27, 2024

Practice Location

Address: 117 BURNETT CT
City: Woodway
State: Texas
ZIP Code: 76712-3100
Phone: (254) 848-0240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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