Individual
DR. KENNETH CARL HOLBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
612 13TH ST S, VIRGINIA, MN 55792-3149
(218) 741-0405
(218) 741-1445
Mailing address
612 13TH ST S, VIRGINIA, MN 55792-3149
(218) 741-0405
(218) 741-1445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8135
MN
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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