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1588103097
JASON HOLT
MILWAUKEE, WI
NPI
1588103097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: WI 100218515)
Enumeration Date
2017-02-16
Last Update Date
2020-04-22
Business Address
JASON HOLT
3522 W LISBON AVE
MILWAUKEE, WI 53208-1953
Phone number: 414-935-8000
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Mailing Address
JASON HOLT
3522 W LISBON AVE
MILWAUKEE, WI 53208-1953
Phone number: 423-741-5780
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