| NPI | 1194593517 |
|---|---|
| Doing Business As | HOLT ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SHALISE MARIE HOLT President 872-704-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |