DR. Charles Todd Holsen, DDS

NPI #1881703965 in Oconomowoc, Wisconsin

Provider Information

NPI Number: 1881703965
Entity Type: Individual
Name: DR. Charles Todd Holsen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 406 E SUMMIT AVE
City: Oconomowoc
State: Wisconsin
ZIP Code: 53066
Phone: (262) 567-1231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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