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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