Brian R Holt, DDS Valid NPI
Individual provider · General Practice Dentistry · Jacksonville, AR
- NPI
- 1790709087
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 3143 (AR)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-07-27
- Last updated
- 2007-07-08
Practice location
1100 John Harden Dr
Jacksonville, AR 72076-3161
(501) 982-4520