BRENDEN KHOUNLO

Dentist

Active Individual
NPI: 1780253146

Practice Address

715 W MILWAUKEE AVE
Storm Lake, IA 50588

Phone: (712) 213-0109

Specialties

Specialty Code Primary License
Dentist 122300000X Yes DDS-09907 (IA)

Frequently Asked Questions

NPI 1780253146 is the National Provider Identifier for BRENDEN KHOUNLO, a Dentist provider located in Storm Lake, IA. This NPI was enumerated on June 21, 2021.
BRENDEN KHOUNLO practices at 715 W MILWAUKEE AVE, Storm Lake, IA 50588.

Quick Facts

NPI
1780253146
Type
Individual
Enumerated
Jun 21, 2021
Last Updated
Jun 22, 2021

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