Provider Demographics
NPI:1972149797
Name:KATHRYN A. HOLZER, DDS, P.C.
Entity type:Organization
Organization Name:KATHRYN A. HOLZER, DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOLZER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:701-222-8229
Mailing Address - Street 1:115 W CENTURY AVE STE C
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-1403
Mailing Address - Country:US
Mailing Address - Phone:701-222-8229
Mailing Address - Fax:701-258-7828
Practice Address - Street 1:115 W CENTURY AVE STE C
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-1403
Practice Address - Country:US
Practice Address - Phone:701-222-8229
Practice Address - Fax:701-258-7828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental