Individual
MARK ROBERT BREINHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
104 6TH ST, LYNDEN, WA 98264-1959
(360) 354-0206
Mailing address
104 6TH ST, LYNDEN, WA 98264-1959
(360) 354-0206
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DENT.DE.61445260
WA
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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