Samantha L Holder Dental Services Llc | |
19848 S La Grange Rd Mokena IL 60448-9339 | |
(708) 478-2550 | |
Not Available |
Full Name | Samantha L Holder Dental Services Llc |
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Speciality | Dentist |
Location | 19848 S La Grange Rd, Mokena, Illinois |
Authorized Official Name and Position | Samantha Holder (OWNER/GENERAL DENTIST) |
Authorized Official Contact | 7084782550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Samantha L Holder Dental Services Llc 19848 S La Grange Rd Mokena IL 60448-9339 Ph: (708) 478-2550 | Samantha L Holder Dental Services Llc 19848 S La Grange Rd Mokena IL 60448-9339 Ph: (708) 478-2550 |
NPI Number | 1063800894 |
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Provider Enumeration Date | 12/31/2014 |
Last Update Date | 12/31/2014 |
Identifier | Type | State | Issuer |
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1063800894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019027057 (Illinois) | Primary |
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