Individual
DR. MICHAEL HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
124 NE EVELYN AVE, GRANTS PASS, OR 97526-1427
(541) 936-9456
(541) 479-1613
Mailing address
124 NE EVELYN AVE, GRANTS PASS, OR 97526-1427
(541) 936-9456
(541) 479-1613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10249
CO
122300000X
Dentist
7884
AZ
122300000X
Dentist
Primary
D11043
OR
Other
Enumeration date
10/08/2009
Last updated
01/06/2020
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