Individual
ANDREW J SODERHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
120 12TH AVENUE EAST, ALEXANDRIA, MN 56308
(320) 298-1000
Mailing address
120 12TH AVENUE EAST, ALEXANDRIA, MN 56308
(320) 298-1000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D13189
MN
Other
Enumeration date
07/22/2009
Last updated
10/24/2022
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