Brent L Holman, DDS Valid NPI
Individual provider · Pediatric Dentistry · Fargo, ND
- NPI
- 1528121258
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0221X
- License number
- 1587 (ND)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-12-17
- Last updated
- 2014-05-01
Practice location
2538 University Dr S, Suite A
Fargo, ND 58103-5737
(701) 232-1148