Individual
DR. MARK MICHAEL MALMBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19 N 6TH ST, OAKES, ND 58474-1214
(701) 742-3401
Mailing address
19 N 6TH ST, OAKES, ND 58474-1214
(701) 742-3401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1650
ND
Other
Enumeration date
02/05/2006
Last updated
07/08/2007
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