Michael Peter Holub, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Anna, IL

NPI

1134266620

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

019-022619 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2007-01-31

Last updated

2017-04-20