Whalio Doctors

NPI 1134266620

Michael Peter Holub, DDS

Practitioner General Practice Dentistry Anna, IL

Practice location

Address
513 N Main St, Anna, IL 62906-1668
Phone
(618) 833-4471
Fax
(618) 833-6267

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 019-022619 (IL)

Registry record

NPI
1134266620
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Jan 2007
Record last updated
20 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.