Brenden Khounlo

NPI #1780253146 in Storm Lake, Iowa

Provider Information

NPI Number: 1780253146
Entity Type: Individual
Name: Brenden Khounlo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 21, 2021
Last Updated: Jun 22, 2021

Practice Location

Address: 715 W MILWAUKEE AVE
City: Storm Lake
State: Iowa
ZIP Code: 50588-1564
Phone: (712) 213-0109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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