STACEY R HOLM

ROSEVILLE, CA
NPI1790857480
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  38427)
Enumeration Date2006-11-15
Last Update Date2016-08-30
Business Address
Dr. STACEY R HOLM D.D.S.
2231 DOUGLAS BLVD SUITE 110
ROSEVILLE, CA 95661-3831
Phone number: 916-784-6300
Mailing Address
Dr. STACEY R HOLM D.D.S.
2231 DOUGLAS BLVD SUITE 110
ROSEVILLE, CA 95661-3831
Phone number: 916-784-6300