Individual
DR. MICHAEL HOLMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6075 E PARKWAY DR STE 160, COMMERCE CITY, CO 80022-5413
(720) 795-7077
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
202562
CO
122300000X
Dentist
61260
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184007221
—
CO
Enumeration date
07/07/2015
Last updated
06/05/2022
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