Individual
DR. THOMAS J HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
199 N 9TH ST, COOS BAY, OR 97420-1702
(541) 267-4314
(541) 269-5416
Mailing address
199 N 9TH ST, COOS BAY, OR 97420-1702
(541) 267-4314
(541) 269-5416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7597
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208334
—
OR
Enumeration date
08/02/2005
Last updated
06/23/2020
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