Individual
TIMANISHA HOLBERT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 N HIGHWAY 61, MUSCATINE, IA 52761-5818
(563) 316-2092
Mailing address
3302 GASTON AVE, DALLAS, TX 75246-2013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.034487
IL
122300000X
Dentist
Primary
DDS10199
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2023
Last updated
05/07/2024
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