Individual
DR. BRADLEY ALLAN HOLMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, DDS
Contact information
Practice address
104 PLAINVIEW STREET, EAGLE LAKE, MN 56024
(507) 257-3800
(507) 257-3456
Mailing address
221 CRESTWOOD DR, NORTH MANKATO, MN 56003-3514
(507) 345-4854
(507) 257-4356
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9088
MN
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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