| Carl B. Holm, D.d.s., P.c. | |
|
350 E Cedar St Suite A Pocatello ID 83201-3709 | |
| (208) 233-2525 | |
| (208) 233-2523 |
| Full Name | Carl B. Holm, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 350 E Cedar St, Pocatello, Idaho |
| Authorized Official Name and Position | Carl Holm (PRESIDENT) |
| Authorized Official Contact | 2082332525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carl B. Holm, D.d.s., P.c. 350 E Cedar St Suite A Pocatello ID 83201-3709 Ph: (208) 233-2525 | Carl B. Holm, D.d.s., P.c. 350 E Cedar St Suite A Pocatello ID 83201-3709 Ph: (208) 233-2525 |
| NPI Number | 1174797716 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174797716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3326 (Idaho) | Primary |
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