Individual
BLAKE J HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1110 BROAD ST STE B, CAMDEN, SC 29020-3624
(803) 432-8841
Mailing address
1110 BROAD ST STE B, CAMDEN, SC 29020-3624
(803) 432-8841
(803) 432-3821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8962
SC
Other
Enumeration date
07/11/2017
Last updated
07/02/2024
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