Individual
DR. ASHLEY LYNN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
820 S WOOD ST STE 100, CHICAGO, IL 60612-4325
(312) 996-2933
Mailing address
820 S WOOD ST STE 100, CHICAGO, IL 60612-4325
(312) 996-2933
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.036248
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2024
Last updated
01/05/2026
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