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Organization

ROSARIO I. HOLLAND DDS INC.

Active
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Organization

ROSARIO I. HOLLAND DDS INC.

Active
Other names
Lifetime Smile Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROSARIO I HOLLAND DDS (PRESIDENT)
(310) 679-0697
Entity
Organization

Contact information

Practice address
15418 HAWTHORNE BLVD, STE A, LAWNDALE, CA 90260-3828
(310) 679-0697
Mailing address
15418 HAWTHORNE BLVD, STE A, LAWNDALE, CA 90260-3828
(310) 679-0697

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57147
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B57147
—
CA
Enumeration date
06/27/2012
Last updated
06/27/2012
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