Individual
DR. JAMES RAYMOND HOLTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VETERANS DR, DENTAL DEPARTMENT, MINNEAPOLIS, MN 55417-2309
(612) 725-1946
Mailing address
18730 RIDGEWOOD RD, WAYZATA, MN 55391-3658
(952) 470-0453
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D6768
MN
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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