Individual
DR. BARRY L. HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 REGENT CT, SUITE #100, STATE COLLEGE, PA 16801-7966
(814) 231-0110
(814) 231-0118
Mailing address
110 REGENT CT, SUITE #100, STATE COLLEGE, PA 16801-7966
(814) 231-0110
(814) 231-0118
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS024069L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411542
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
10/22/2008
Last updated
10/22/2008
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