Doctor Name: | MR. MICHAEL NEIL HOLDEN |
NPI Number: | 1801010046 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LD |
License Number: | DT-DO-10111220 |
Business Practice Address: | 25052 104th Ave Se Ste G Kent, WA - 980306853 |
Business Phone Number: | 2538138000 |
Business Fax Number: | 2538138007 |
Mailing Address: | 25052 104th Ave Se Ste G, KENT |
State: | WA |
Postal Code: | 980306853 |
Phone Number: | 2538138000 |
Fax Number: | 2538138007 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 04/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 122400000X |
License Number: | DT-DO-10111220 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Denturist |
Taxonomy Specialization: | |
Taxonomy Definition: |