Nicole Nong

NPI #1770076077 in Grandview, Missouri

Provider Information

NPI Number
1770076077
Entity Type
Individual
Name
Nicole Nong
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Enumeration Date
Jun 11, 2018
Last Updated
Jun 11, 2018

Practice Location

Address
13051 S US HIGHWAY 71
ZIP Code
64030-2525
Phone
(816) 966-9450

Specialties & Taxonomy Codes

Specialty
Dentist

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