Individual
NANNAPUT NONGNUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
40 W NICOLLET BLVD, BURNSVILLE, MN 55337-4527
(952) 898-0990
Mailing address
7991 UPPER 146TH ST W, APPLE VALLEY, MN 55124-6301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15307
MN
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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