Organization
BRUCE M. HOLT, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE M. HOLT DDS (PRESIDENT)
(916) 781-3743
Entity
Organization
Contact information
Practice address
1421 SECRET RAVINE PKWY., SUITE 101, ROSEVILLE, CA 95661
(916) 781-3743
Mailing address
1421 SECRET RAVINE PKWY., SUITE 101, ROSEVILLE, CA 95661
(916) 781-3743
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
42053
CA
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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