| Holden Dental Llc | |
|
50 North Main Street Holden UT 84636 | |
| (435) 795-2306 | |
| Not Available |
| Full Name | Holden Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 50 North Main Street, Holden, Utah |
| Authorized Official Name and Position | James D Larsen (OWNER) |
| Authorized Official Contact | 4357952306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holden Dental Llc Po Box 129 Holden UT 84636-0129 Ph: (435) 795-2306 | Holden Dental Llc 50 North Main Street Holden UT 84636 Ph: (435) 795-2306 |
| NPI Number | 1093179491 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093179491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 144305-9922 (Utah) | Primary |