IndividualActive
Brenden Khounlo
NPI 1780253146 · Dentist · Storm Lake, IA
Provider details
- NPI number
- 1780253146
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DDS-09907 (IA)
Specialties & taxonomies
Dental Providers
Practice location
715 W Milwaukee Ave
Storm Lake, IA 50588-1564
Phone: (712) 213-0109
Approximate (ZIP-level) locationGet directions
Mailing address
715 W Milwaukee Ave
Storm Lake, IA 50588-1564
Registry dates
- Enumerated
- 2021-06-21
- Last updated
- 2021-06-22
- Certified
- 2021-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.