Organization
HOLTON FAMILY DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN HEINBACH DDS (OWNER)
(785) 364-4636
Entity
Organization
Contact information
Practice address
208 W 4TH ST, HOLTON, KS 66436-1784
(785) 364-4636
(785) 364-4815
Mailing address
208 W 4TH ST, HOLTON, KS 66436-1784
(785) 364-4636
(785) 364-4815
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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