| Mark H. Holt, Dds, Ms, Inc | |
|
1421 Secret Ravine Pkwy Suite #121 Roseville CA 95661-6045 | |
| (916) 786-9282 | |
| (916) 786-0776 |
| Full Name | Mark H. Holt, Dds, Ms, Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1421 Secret Ravine Pkwy, Roseville, California |
| Authorized Official Name and Position | Mark H. Holt (PRESIDENT) |
| Authorized Official Contact | 9167869282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark H. Holt, Dds, Ms, Inc 1421 Secret Ravine Pkwy Suite #121 Roseville CA 95661-6045 Ph: (916) 786-9282 | Mark H. Holt, Dds, Ms, Inc 1421 Secret Ravine Pkwy Suite #121 Roseville CA 95661-6045 Ph: (916) 786-9282 |
| NPI Number | 1558458703 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558458703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 35615 (California) | Primary |
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