Individual
MR. MICHAEL NEIL HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
25052 104TH AVE SE STE G, KENT, WA 98030-6853
(253) 813-8000
(253) 813-8007
Mailing address
25052 104TH AVE SE STE G, KENT, WA 98030-6853
(253) 813-8000
(253) 813-8007
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN 60153167
WA
122400000X
Denturist
DT-DO-10111220
OR
Other
Enumeration date
04/12/2007
Last updated
04/19/2012
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