# HOLT & ROCKWOOD PLLC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maple Valley Family Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619511284
- **Authorized official:** WENDY LYNN OCONNELL (OFFICE MANAGER)
- **Authorized official phone:** (425) 413-8525

## Contact information

- **Practice address:** 27016 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 98038-8319
- **Practice address phone:** (425) 413-8525
- **Practice address fax:** (425) 413-8599
- **Mailing address:** 27016 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 98038-8319
- **Mailing address phone:** (425) 413-8525
- **Mailing address fax:** (425) 413-8599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2019
- **Last updated:** 11/06/2019