Individual
HELEN RUTH HOLTE-DACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2234 SALEM AVE, DAYTON, OH 45406-5627
(937) 431-9000
(937) 431-1699
Mailing address
2234 SALEM AVE, DAYTON, OH 45406-5627
(937) 431-9000
(937) 431-1699
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30021148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942930420029
—
OH
Enumeration date
10/25/2006
Last updated
10/24/2017
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