Organization
JEFFREY JH HOLSEN, DDS,SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY JH HOLSEN (PRESIDENT)
(920) 459-8467
Entity
Organization
Contact information
Practice address
2905 S 12TH ST, SHEBOYGAN, WI 53081-6705
(920) 459-8467
(920) 459-9886
Mailing address
2905 S 12TH ST, SHEBOYGAN, WI 53081-6705
(920) 459-8467
(920) 459-9886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001664
WI
Other
Enumeration date
08/12/2006
Last updated
08/22/2020
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