# SODERHOLM ORAL SURGERY AND IMPLANTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Soderholm Oral Surgery and Implants
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841991262
- **Authorized official:** ANDREW SODERHOLM DDS (OWNER/DOCTOR)
- **Authorized official phone:** (320) 298-1000

## Contact information

- **Practice address:** 120 12TH AVE E, ALEXANDRIA, MN 56308-2528
- **Practice address phone:** (320) 298-1000
- **Practice address fax:** (320) 227-3423
- **Mailing address:** 120 12TH AVE E, ALEXANDRIA, MN 56308-2528
- **Mailing address phone:** (320) 298-1000
- **Mailing address fax:** (320) 227-3423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2023
- **Last updated:** 03/13/2023