Organization
NATHALIE TUNGESVIK,DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHALIE LOUISE TUNGESVIK DDS (PRESIDENT)
(573) 635-3576
Entity
Organization
Contact information
Practice address
994 DIAMOND RDG, SUITE 200, JEFFERSON CITY, MO 65109-6885
(573) 635-3576
(573) 634-2597
Mailing address
3555 ANTIETAM CT, JEFFERSON CITY, MO 65109-6899
(573) 893-8380
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015327
MO
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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