Search › Washington › 1223X0400X
Mark Sundberg, DDS, ABGD, MAGD
NPI 1366412058 · on the registry since 2006
Practice
- Address
- Bldg 9900, 2nd Floor
U.S. Army Dental Activity - Ft Lewis
Tacoma, WA 98431 - Phone
- (253) 968-4039
- Fax
- (253) 968-5919
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington