J Greg Holm, D.D.S., P.A.

NPI #1467451633 in Wichita, Kansas

Provider Information

NPI Number: 1467451633
Entity Type: Individual
Name: J Greg Holm, D.D.S., P.A.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: D.D.S., P.A.
Enumeration Date: Jul 19, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 7405 W CENTRAL AVE
City: Wichita
State: Kansas
ZIP Code: 67212-3514
Phone: (316) 722-3191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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