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Organization
SODERHOLM ORAL SURGERY AND IMPLANTS
Active
Organization
SODERHOLM ORAL SURGERY AND IMPLANTS
Active
Other names
Soderholm Oral Surgery and Implants
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SODERHOLM DDS (OWNER/DOCTOR)
(320) 298-1000
Entity
Organization
Contact information
Practice address
120 12TH AVE E, ALEXANDRIA, MN 56308-2528
(320) 298-1000
(320) 227-3423
Mailing address
120 12TH AVE E, ALEXANDRIA, MN 56308-2528
(320) 298-1000
(320) 227-3423
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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