Individual
DR. JAMIE DOMINIC NONNENMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., D.D.S.
Contact information
Practice address
3823 - 15TH ST. D, MOLINE, IL 61265
(309) 797-2959
Mailing address
3823 - 15TH ST. D, MOLINE, IL 61265
(309) 797-2959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019-017141
IL
122300000X
Dentist
Primary
019.017141
IL
122300000X
Dentist
319-006779
IL
122300000X
Dentist
319.006779
IL
Other
Enumeration date
06/24/2009
Last updated
05/03/2016
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