# TAMARA R HOLLIDAY DDS PLLC

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

## Provider details

- **NPI number:** 1952798803
- **Authorized official:** DR. TAMARA REIKO HOLLIDAY DDS (OWNER DENTIST)
- **Authorized official phone:** (206) 779-5066

## Contact information

- **Practice address:** 4520 42ND AVE SW, SUITE 33, SEATTLE, WA 98116-4240
- **Practice address phone:** (206) 935-3161
- **Mailing address:** 4520 42ND AVE SW, SUITE 33, SEATTLE, WA 98116-4240
- **Mailing address phone:** (206) 935-3161
- **Mailing address fax:** (206) 933-8453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60172193 | WA | Yes |

## Other

- **Enumeration date:** 04/17/2015
- **Last updated:** 04/17/2015