Individual
DR. MARK ALAN SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, ABGD, MAGD
Contact information
Practice address
BLDG 9900, 2ND FLOOR, U.S. ARMY DENTAL ACTIVITY - FT LEWIS, TACOMA, WA 98431-0001
(253) 968-4039
(253) 968-5919
Mailing address
BLDG 9900, 2ND FLOOR, U.S. ARMY DENTAL ACTIVITY - FT LEWIS, TACOMA, WA 98431-0001
(253) 968-4039
(253) 968-5919
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
06999
IA
Other
Enumeration date
01/25/2006
Last updated
03/30/2011
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