Organization
MARK A. SUNDBERG, DDS, PLLC
Active
Organization
MARK A. SUNDBERG, DDS, PLLC
Active
Other names
Pacific Northwest Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A. SUNDBERG DDS (MEMBER)
(253) 472-7788
Entity
Organization
Contact information
Practice address
2702 SOUTH 42ND STREET, SUITE 106, TACOMA, WA 98409
(253) 472-7788
Mailing address
2702 SOUTH 42ND STREET, SUITE 106, TACOMA, WA 98409
(253) 472-7788
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00010504
WA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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