Nicholas Philip Brong, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · South Saint Paul, MN
- NPI
- 1437414034
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- D13138 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2012-07-10
- Last updated
- 2012-07-10
Practice location
800 Marie Ave
South Saint Paul, MN 55075-2055
(651) 451-1277