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Organization
GREGORY S HOLBROOK, DMD, PC
Active
Organization
GREGORY S HOLBROOK, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY S HOLBROOK DMD (PRESIDENT)
(208) 756-2899
Entity
Organization
Contact information
Practice address
1301 MAIN ST, SUITE 9, SALMON, ID 83467-4451
(208) 756-2899
(208) 756-4686
Mailing address
1301 MAIN ST, SUITE 9, SALMON, ID 83467-4451
(208) 756-2899
(208) 756-4686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3250
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00087549
UNITED CONCORDIA
—
01
—
006084
DELTA DENTAL
—
01
—
6A135
BLUE CROSS OF IDAHO
ID
01
—
9201997
METLIFE
—
Enumeration date
03/06/2008
Last updated
03/06/2008
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