Individual
JAIME ELLEN HOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
387 NE 223RD AVE, GRESHAM, OR 97030-8554
(503) 491-5450
Mailing address
387 NE 223RD AVE, GRESHAM, OR 97030-8554
(503) 491-5450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10659
OR
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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