Individual
JEALYNN MARIE HOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6900 FOREST AVE STE 110, RICHMOND, VA 23230-1730
(804) 893-8715
(804) 285-1292
Mailing address
4200 S LAKE DR UNIT 208, SAINT FRANCIS, WI 53235-5961
(740) 364-8636
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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