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1346939816
CHARLES BLAKE HOLT
TACOMA, WA
NPI
1346939816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA DE61436740)
Enumeration Date
2023-05-02
Last Update Date
2023-05-02
Business Address
CHARLES BLAKE HOLT DDS
9040A JACKSON AVENUE
TACOMA, WA 98431-0001
Phone number: 253-968-0367
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Mailing Address
CHARLES BLAKE HOLT DDS
9900 LINCOLN STREET 2ND FLOOR
TACOMA, WA 98431-0001
Phone number: 253-968-4079
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