1548844053 Phonsuda Chanthavisouk, RDH, MDT

Dental Therapist

Active

Basic Information

Full Name
Phonsuda Chanthavisouk, RDH, MDT
Gender
Female
Enumeration Date
May 11, 2021
Last Update
August 8, 2023

Practice Location

Address
728 E HENNEPIN AVE
MINNEAPOLIS, MN 554141126
Phone
(612) 746-1530

Mailing Address

Address
6145 14TH AVE S
MINNEAPOLIS, MN 554231728
Phone
(612) 961-9886

Specialties & Taxonomies

Specialty Code Classification License State Primary
Dental Therapist
125J00000X Dental Therapist DT137 MN Primary
Dental Hygienist
124Q00000X Dental Hygienist H11002 MN No

Other Identifiers

Identifier Type State Issuer
DT137 05 MN N/A

Frequently Asked Questions

What is Phonsuda Chanthavisouk, RDH, MDT's NPI number?
Phonsuda Chanthavisouk, RDH, MDT's NPI number is 1548844053.
Which doctor has NPI number 1548844053?
The doctor with NPI number 1548844053 is Phonsuda Chanthavisouk, RDH, MDT.
What is Phonsuda Chanthavisouk, RDH, MDT's practice address?
Phonsuda Chanthavisouk, RDH, MDT's practice address is 728 E HENNEPIN AVE, MINNEAPOLIS, MN, 554141126.
Which doctor practices at 728 E HENNEPIN AVE, MINNEAPOLIS, MN, 554141126?
Phonsuda Chanthavisouk, RDH, MDT practices at 728 E HENNEPIN AVE, MINNEAPOLIS, MN, 554141126.
What is Phonsuda Chanthavisouk, RDH, MDT's mailing address?
Phonsuda Chanthavisouk, RDH, MDT's mailing address is 6145 14TH AVE S, MINNEAPOLIS, MN, 554231728.
What is Phonsuda Chanthavisouk, RDH, MDT's phone number?
Phonsuda Chanthavisouk, RDH, MDT's phone number is (612) 746-1530.
Who is (612) 746-1530?
(612) 746-1530 is the phone number for Phonsuda Chanthavisouk, RDH, MDT.
What is Phonsuda Chanthavisouk, RDH, MDT's specialty?
Phonsuda Chanthavisouk, RDH, MDT's specialty is Dental Therapist.
What type of doctor is Phonsuda Chanthavisouk, RDH, MDT?
Phonsuda Chanthavisouk, RDH, MDT is a Dental Therapist.
Is Phonsuda Chanthavisouk, RDH, MDT a Dental Therapist?
Yes, Phonsuda Chanthavisouk, RDH, MDT is a Dental Therapist.
Is Phonsuda Chanthavisouk, RDH, MDT still practicing?
Yes, Phonsuda Chanthavisouk, RDH, MDT is currently practicing.
Is Phonsuda Chanthavisouk, RDH, MDT accepting new patients?
Phonsuda Chanthavisouk, RDH, MDT may be accepting new patients. Please call their office at (612) 746-1530 to inquire about availability.
Is NPI 1548844053 still active?
Yes, NPI 1548844053 is currently active.
Where does Phonsuda Chanthavisouk, RDH, MDT practice?
Phonsuda Chanthavisouk, RDH, MDT practices in MINNEAPOLIS, MN.
Is Phonsuda Chanthavisouk, RDH, MDT a male or female doctor?
Phonsuda Chanthavisouk, RDH, MDT is a female doctor.