Organization
CARL B. HOLM, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL HOLM DDS (PRESIDENT)
(208) 233-2525
Entity
Organization
Contact information
Practice address
350 E CEDAR ST, SUITE A, POCATELLO, ID 83201-3709
(208) 233-2525
(208) 233-2523
Mailing address
350 E CEDAR ST, SUITE A, POCATELLO, ID 83201-3709
(208) 233-2525
(208) 233-2523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3326
ID
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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