Shalise Marie Holt, DDS, MS
Shalise Marie Holt, DDS, MS is an Orthodontics and Dentofacial Orthopedics Dentistry in Loves Park, Illinois. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
What do these letters mean?
Practice location Address checks out
4001 N Mulford RdLoves Park, IL 61111-6949
Phone: (815) 877-6453
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence 021.002884 (IL) |
|---|
Record details
| NPI number | 1164904272 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DDS , MS |
| Sole proprietor | No |
| NPI enumerated | September 5, 2018 |
| Last updated in NPPES | September 5, 2018 |