Organization
KEITH HOLM LLC
Active
Other names
Little Smiles of Surprise
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH HOLM DMD (OWNER)
(623) 251-9767
Entity
Organization
Contact information
Practice address
13915 N DYSART RD STE A1, EL MIRAGE, AZ 85335-7333
(623) 444-6340
(623) 444-6350
Mailing address
13915 N DYSART RD STE A1, EL MIRAGE, AZ 85335-7333
(623) 444-6340
(623) 444-6350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7138
AZ
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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