Mark Arnold Bloomquist, DDS Valid NPI

Individual provider · General Practice Dentistry · Spicer, MN

NPI

1962557587

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

9390 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2007-01-24

Last updated

2007-07-08