Individual
KATHRYN STAHLHUTH HOLTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2181 WASHINGTON ST, ROXBURY, MA 02119-2082
(617) 606-3049
Mailing address
1090 NORTHCHASE PKWY SE, SUITE 150, MARIETTA, GA 30067-6405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0031236
TX
1223G0001X
General Practice Dentistry
DN1857330
MA
1223P0221X
Pediatric Dentistry
Primary
31236
TX
Other
Enumeration date
07/19/2015
Last updated
05/23/2022
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