Individual
DR. JOHN BERNARD HOLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD PSC
Contact information
Practice address
3932 DUTCHMANS LANE, LOUISVILLE, KY 40207
(502) 895-0797
(502) 895-1328
Mailing address
3932 DUTCHMANS LANE, LOUISVILLE, KY 40207
(502) 895-0797
(502) 895-1328
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3917
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3917
KENTUCKY ST LICENSE NUMBE
—
Enumeration date
11/07/2006
Last updated
07/08/2007
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