Organization
ROGUE RIVER SLEEP DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AARON HOLM DDS (DENTIST/OWNER)
(206) 818-0492
Entity
Organization
Contact information
Practice address
205 N BERKLEY ST, COUNCIL, ID 83612-5015
(206) 818-0492
Mailing address
377 AIRPORT RD, WEISER, ID 83672-5759
(206) 818-0492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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