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Organization
LEE F. HOLLISTER,DDS JON E. HOLLISTERDDS DENTAL CORPORATION
Active
Organization
LEE F. HOLLISTER,DDS JON E. HOLLISTERDDS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON E. HOLLISTER DDS (DENTIST OWNER)
(805) 543-6963
Entity
Organization
Contact information
Practice address
1042 PACIFIC ST, SUITE B, SAN LUIS OBISPO, CA 93401-3621
(805) 543-6963
(805) 543-8656
Mailing address
1042 PACIFIC ST, SUITE B, SAN LUIS OBISPO, CA 93401-3621
(805) 543-6963
(805) 543-8656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28328
CA
Other
Enumeration date
06/28/2007
Last updated
08/22/2020
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