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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