Individual
ANGELA L TENHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1000 ELEVEN S STE 3F, COLUMBIA, IL 62236-1077
(618) 281-9729
(618) 281-9734
Mailing address
1000 ELEVEN S STE 3F, COLUMBIA, IL 62236-1077
(618) 281-9729
(618) 281-9734
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-023598
IL
Other
Enumeration date
05/13/2006
Last updated
01/08/2020
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