Nicole Nothongkham, DDS
NPI #1679202485 in Hermantown, Minnesota
Provider Information
- NPI Number
- 1679202485
- Entity Type
- Individual
- Name
- Nicole Nothongkham, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jun 7, 2022
- Last Updated
- Jun 7, 2022
Practice Location
- Address
- 4803 MILLER TRUNK HWY STE B
- City
- Hermantown
- State
- Minnesota
- ZIP Code
- 55811-4804
- Phone
- (218) 722-7770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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