Individual
DR. JOHN BENJAMIN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5 N SHORE RD, LAKE OSWEGO, OR 97034-3827
(503) 635-3438
(503) 697-3803
Mailing address
5 N SHORE RD, LAKE OSWEGO, OR 97034-3827
(503) 635-3438
(503) 697-3803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4733
OR
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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