Provider Demographics
NPI:1790864387
Name:TONNU, JOANNE C (DDS)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:C
Last Name:TONNU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 DAHLIA ST
Mailing Address - Street 2:SUITE #4
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89048-2195
Mailing Address - Country:US
Mailing Address - Phone:775-727-8848
Mailing Address - Fax:775-727-8499
Practice Address - Street 1:270 DAHLIA ST
Practice Address - Street 2:SUITE #4
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-2195
Practice Address - Country:US
Practice Address - Phone:775-727-8848
Practice Address - Fax:775-727-8499
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1223G0001X1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice