Individual
THOMAS ANTHONY HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
27016 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 98038
(425) 413-8525
(425) 413-8599
Mailing address
27016 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY FAMILY DENTAL CARE, MAPLE VALLEY, WA 98038
(425) 413-8525
(425) 413-8599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010295
WA
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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