Angela L Tenholder, D.M.D.

NPI #1487605507 in Columbia, Illinois

Provider Information

NPI Number: 1487605507
Entity Type: Individual
Name: Angela L Tenholder, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: May 13, 2006
Last Updated: Jan 8, 2020

Practice Location

Address: 1000 ELEVEN S STE 3F
City: Columbia
State: Illinois
ZIP Code: 62236-1077
Phone: (618) 281-9729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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