CHARLES BLAKE HOLT

TACOMA, WA
NPI1346939816
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WA  DE61436740)
Enumeration Date2023-05-02
Last Update Date2023-05-02
Business Address
CHARLES BLAKE HOLT DDS
9040A JACKSON AVENUE
TACOMA, WA 98431-0001
Phone number: 253-968-0367
Mailing Address
CHARLES BLAKE HOLT DDS
9900 LINCOLN STREET 2ND FLOOR
TACOMA, WA 98431-0001
Phone number: 253-968-4079