| Holecek Family Dental Center Llc | |
|
1100 E Polston Ave Ste B Post Falls ID 83854 | |
| (208) 777-9599 | |
| (208) 777-1627 |
| Full Name | Holecek Family Dental Center Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1100 E Polston Ave, Post Falls, Idaho |
| Authorized Official Name and Position | David Mark Holecek (OWNER MANAGER) |
| Authorized Official Contact | 2087779599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holecek Family Dental Center Llc 1100 E Polston Ave Ste B Post Falls ID 83854 Ph: (208) 777-9599 | Holecek Family Dental Center Llc 1100 E Polston Ave Ste B Post Falls ID 83854 Ph: (208) 777-9599 |
| NPI Number | 1194975755 |
|---|---|
| Provider Enumeration Date | 09/19/2008 |
| Last Update Date | 11/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194975755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3552 (Idaho) | Primary |
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