Organization
ROGUE DENTAL SLEEP SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HOLM DDS (OWNER)
(206) 818-0492
Entity
Organization
Contact information
Practice address
124 NE EVELYN AVE, GRANTS PASS, OR 97526-1427
(206) 818-0492
Mailing address
124 NE EVELYN AVE, GRANTS PASS, OR 97526-1427
(541) 936-9456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
12/09/2019
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