Sundberg, Mark Alan
Sundberg, Mark Alan is an individual health care provider with primary practice located at Bldg 9900, 2Nd Floor U.S. Army Dental Activity - Ft Lewis, Tacoma WA 98431-0001. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Sundberg, Mark Alan can be contacted via phone (253) 968-4039.Contact Information
Primary practice address
Bldg 9900, 2Nd Floor U.S. Army Dental Activity - Ft Lewis
Tacoma WA 98431-0001
Phone: (253) 968-4039
Fax: (253) 968-5919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 06999 | Iowa |
Profile Details
| NPI number | 1366412058 |
|---|---|
| LBN Legal business name | Sundberg, Mark Alan |
| Credentials | DDS, ABGD, MAGD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Mar 30th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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