Rogue River Sleep Dentistry

NPI #1669035655 in Council, Idaho

Provider Information

NPI Number
1669035655
Entity Type
Organization
Organization Name
Rogue River Sleep Dentistry
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 16, 2019
Last Updated
Apr 16, 2019

Practice Location

Address
205 N BERKLEY ST
State
Idaho
ZIP Code
83612-5015
Phone
(206) 818-0492

Authorized Official

Name
MICHAEL AARON HOLM, DDS
Title
DENTIST/OWNER
Phone
(206) 818-0492

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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