Carl B Holm, D.D.S.
Dentist, General Practice in Pocatello, ID. Individual provider (NPI-1).
NPI number1043362452
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1043362452
- Entity type
- Individual (NPI-1)
- Name
- Carl B Holm
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D-3326 | ID | Yes |
Practice location
350 E Cedar St Ste APocatello, ID 83201-3709
Phone 208-233-2525 · Fax 208-233-2523
Mailing address
350 E Cedar St Ste APocatello, ID 83201-3709
Phone 208-233-2525 · Fax 208-233-2523
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All 69 General Practice Dentistry providers in Pocatello · All 2,770 providers in Pocatello
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