| Jeffrey Jh Holsen, Dds,sc | |
|
2905 S 12th St Sheboygan WI 53081-6705 | |
| (920) 459-8467 | |
| (920) 459-9886 |
| Full Name | Jeffrey Jh Holsen, Dds,sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2905 S 12th St, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Jeffrey Jh Holsen (PRESIDENT) |
| Authorized Official Contact | 9204598467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Jh Holsen, Dds,sc 2905 S 12th St Sheboygan WI 53081-6705 Ph: (920) 459-8467 | Jeffrey Jh Holsen, Dds,sc 2905 S 12th St Sheboygan WI 53081-6705 Ph: (920) 459-8467 |
| NPI Number | 1255343828 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255343828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001664 (Wisconsin) | Primary |
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