| NPI | 1841991262 | 
|---|---|
| Doing Business As | SODERHOLM ORAL SURGERY AND IMPLANTS | 
| Entity Type | Organization | 
| Authorized Contact | ANDREW SODERHOLM Owner/Doctor 320-298-1000 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery | 
| Enumeration Date | 2023-03-13 | 
| Last Update Date | 2023-03-13 |