Individual
DR. ISAAC FAXON HOLTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1214 W MEDICAL PARK RD, AUGUSTA, GA 30909-4503
(706) 860-7937
(706) 860-9770
Mailing address
1214 W MEDICAL PARK RD, AUGUSTA, GA 30909-4503
(706) 860-7937
(706) 860-9770
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8610
GA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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