# LARA KIRSTIN HOLLY DMD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154887883
- **Authorized official:** LARA KIRSTIN HOLLY DMD (OWNER)
- **Authorized official phone:** (214) 378-8868

## Contact information

- **Practice address:** 8355 WALNUT HILL LN STE 125, DALLAS, TX 75231-4237
- **Practice address phone:** (214) 378-8868
- **Mailing address:** 8355 WALNUT HILL LN STE 125, DALLAS, TX 75231-4237
- **Mailing address phone:** (214) 378-8868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/19/2019
- **Last updated:** 02/19/2019