Individual
DR. JAY A HOLTHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
210 JPM RD, SUITE 302, LEWISBURG, PA 17837-9367
(570) 522-7070
(570) 522-7072
Mailing address
190 MEIXELL CIR, LEWISBURG, PA 17837-9258
(570) 522-0162
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS035113
PA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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