Holecek Family Dental Center LLC

NPI #1194975755 in Post Falls, Idaho

Provider Information

NPI Number: 1194975755
Entity Type: Organization
Organization Name: Holecek Family Dental Center LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 19, 2008
Last Updated: Nov 13, 2013

Practice Location

Address: 1100 E POLSTON AVE
Address 2: STE B
City: Post Falls
State: Idaho
ZIP Code: 83854
Phone: (208) 777-9599

Authorized Official

Name: DR. DAVID MARK HOLECEK, DDS
Title: OWNER MANAGER
Phone: (208) 777-9599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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