| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 12/31/2014 |
| Last Update Date | 12/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063800894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019027057 (Illinois) | Primary |
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