Individual
STEVEN JAMES HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3465 AIRPORT ROAD, PORTAGE, IN 46368-5107
(219) 763-2727
(219) 763-0126
Mailing address
3465 AIRPORT ROAD, PORTAGE, IN 46368-5107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007424
IN
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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