DR. Jon Edvin Holmberg, DDS

NPI #1194886135 in Enumclaw, Washington

Provider Information

NPI Number: 1194886135
Entity Type: Individual
Name: DR. Jon Edvin Holmberg, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1837 WELLS ST
City: Enumclaw
State: Washington
ZIP Code: 98022-3516
Phone: (360) 825-2081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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