Individual
TYLER HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1421 SECRET RAVINE PKWY STE 121, ROSEVILLE, CA 95661-6045
(916) 786-9282
Mailing address
1421 SECRET RAVINE PKWY STE 121, ROSEVILLE, CA 95661-6045
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
100946
CA
Other
Enumeration date
10/07/2015
Last updated
11/07/2025
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