Organization
BARRY L HOLDEN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY LEE HOLDEN DMD (PRESIDENT)
(814) 231-0110
Entity
Organization
Contact information
Practice address
110 REGENT CT, STE 100, STATE COLLEGE, PA 16801-7966
(814) 231-0110
(814) 231-0118
Mailing address
110 REGENT CT, STE 100, STATE COLLEGE, PA 16801-7966
(814) 231-0110
(814) 231-0118
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS024069L
PA
261QD0000X
Dental Clinic/Center
DS024069L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411542
BCBS
PA
Enumeration date
07/21/2006
Last updated
01/16/2008
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