Individual
DR. JOHN HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5 NORTHSHORE RD, LAKE OSWEGO, OR 97034-3827
(503) 610-1010
Mailing address
5 NORTHSHORE RD, LAKE OSWEGO, OR 97034-3827
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D011896
AZ
122300000X
Dentist
Primary
D11913
OR
Other
Enumeration date
07/10/2023
Last updated
03/27/2024
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