Samantha L Holder Dental Services LLC

NPI #1063800894 in Mokena, Illinois

Provider Information

NPI Number: 1063800894
Entity Type: Organization
Organization Name: Samantha L Holder Dental Services LLC
Primary Specialty: Dentist
Enumeration Date: Dec 31, 2014
Last Updated: Dec 31, 2014

Practice Location

Address: 19848 S LA GRANGE RD
City: Mokena
State: Illinois
ZIP Code: 60448-9339
Phone: (708) 478-2550

Authorized Official

Name: DR. SAMANTHA HOLDER, D.D.S.
Title: OWNER/GENERAL DENTIST
Phone: (708) 478-2550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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