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NPI Code Detail

MEDICARE: GARY L. HOLTZ, D.D.S., INC.

MEDICARE: GARY L. HOLTZ, D.D.S., INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry30.014437OH

General Provider Information

NPI Number : 1477729424
Entity Type Code : Organization
Provider Name (Legal Business Name) : GARY L. HOLTZ, D.D.S., INC.
Provider Business Mailing Address
First Line : 1208 BELL RD
Second Line :
City : CHAGRIN FALLS
State : OH
Zip : 44022-4254
Country : US
Telephone Number : 440-338-1711
Fax Number : 440-338-5107
Provider Business Practice Location Address
First Line : 1208 BELL RD
Second Line :
City : CHAGRIN FALLS
State : OH
Zip : 44022-4254
Country : US
Telephone Number : 440-338-1711
Fax Number : 440-338-5107
Authorized Official
Title or Position : PRESIDENT
Name : DR. GARY LEE HOLTZ
Credential : D.D.S.
Telephone Number : 440-338-1711
Provider Enumeration Date : 04/30/2008
Last Update Date : 04/30/2008

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Directions to “GARY L. HOLTZ, D.D.S., INC. ” Practice Location

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