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Organization
HOLECEK FAMILY DENTAL CENTER LLC
Active
Organization
HOLECEK FAMILY DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MARK HOLECEK DDS (OWNER MANAGER)
(208) 777-9599
Entity
Organization
Contact information
Practice address
1100 E POLSTON AVE, STE B, POST FALLS, ID 83854
(208) 777-9599
(208) 777-1627
Mailing address
1100 E POLSTON AVE, STE B, POST FALLS, ID 83854
(208) 777-9599
(208) 777-1627
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3552
ID
Other
Enumeration date
09/19/2008
Last updated
11/13/2013
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