Organization
MARK H. HOLT, DDS, MS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK H. HOLT D.D.S.,M.S. (PRESIDENT)
(916) 786-9282
Entity
Organization
Contact information
Practice address
1421 SECRET RAVINE PKWY, SUITE #121, ROSEVILLE, CA 95661-6045
(916) 786-9282
(916) 786-0776
Mailing address
1421 SECRET RAVINE PKWY, SUITE #121, ROSEVILLE, CA 95661-6045
(916) 786-9282
(916) 786-0776
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
35615
CA
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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