Individual
DR. MARK ARNOLD BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
315 ACCESS DR, SPICER, MN 56288
(320) 796-2158
(320) 796-2158
Mailing address
PO BOX 10, 315 ACCESS DR, SPICER, MN 56288
(320) 796-2158
(320) 796-2158
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9390
MN
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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