SHALISE MARIE HOLT

LOVES PARK, IL
NPI1164904272
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: IL  021.002884)
Enumeration Date2018-09-05
Last Update Date2018-09-05
Business Address
SHALISE MARIE HOLT DDS, MS
4001 N MULFORD RD
LOVES PARK, IL 61111-6949
Phone number: 815-877-6453
Mailing Address
SHALISE MARIE HOLT DDS, MS
4001 N MULFORD RD
LOVES PARK, IL 61111-6949
Phone number: 815-877-6453
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