Individual
HOLLY EYDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3943 116TH ST NE, STE. 103, MARYSVILLE, WA 98271-8448
(360) 651-9580
Mailing address
3943 116TH ST NE, STE. 103, MARYSVILLE, WA 98271-8448
(360) 651-9580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60209303
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2010
Last updated
05/02/2011
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