Provider Demographics
NPI:1811025554
Name:HOLTZIN, ALLYN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALLYN
Middle Name:
Last Name:HOLTZIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 MITCHELL CT
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-8551
Mailing Address - Country:US
Mailing Address - Phone:856-797-0818
Mailing Address - Fax:
Practice Address - Street 1:32 MITCHELL CT
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-8551
Practice Address - Country:US
Practice Address - Phone:856-797-0818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D100639700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist