Individual
DR. THOMAS NELSON HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1400 FIFTH AVENUE #4M, NEW YORK, NY 10026
(212) 828-0132
Mailing address
1400 FIFTH AVENUE #4M, NEW YORK, NY 10026
(212) 828-0132
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
02266600
NJ
1223P0300X
Periodontics
Primary
049616
NY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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