Organization
CEDAR VALLEY DENTAL ARTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH WILSON HOLT DDS (PRESIDENT)
(828) 772-0569
Entity
Organization
Contact information
Practice address
4957 SWINYAR DR STE 107, OOLTEWAH, TN 37363-2205
(423) 396-3154
Mailing address
5135 SILVER LN, APISON, TN 37302-9594
(828) 772-0569
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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