Individual
DR. MARK F HOLMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11800 SINGLETREE LN STE 406, EDEN PRAIRIE, MN 55344-7900
(952) 829-0686
(952) 829-0585
Mailing address
11800 SINGLETREE LN STE 406, EDEN PRAIRIE, MN 55344-7900
(952) 829-0686
(952) 829-0585
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9023
MN
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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