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Individual

ADAM L HOLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
820 GRAND AVE, SPENCER, IA 51301-3631
(712) 299-4357
Mailing address
820 GRAND AVE, SPENCER, IA 51301-3631
(712) 580-3038
(319) 774-8824

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
09188
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
09188
IA

Other

Enumeration date
06/12/2015
Last updated
11/03/2021
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