# CARL B. HOLM, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174797716
- **Authorized official:** DR. CARL HOLM DDS (PRESIDENT)
- **Authorized official phone:** (208) 233-2525

## Contact information

- **Practice address:** 350 E CEDAR ST, SUITE A, POCATELLO, ID 83201-3709
- **Practice address phone:** (208) 233-2525
- **Practice address fax:** (208) 233-2523
- **Mailing address:** 350 E CEDAR ST, SUITE A, POCATELLO, ID 83201-3709
- **Mailing address phone:** (208) 233-2525
- **Mailing address fax:** (208) 233-2523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D3326 | ID | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 04/15/2008