Individual
DR. DANE L HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14533 E HIGHWAY 12, ROGERS, AR 72756-8087
(479) 925-3632
Mailing address
14533 E HIGHWAY 12, ROGERS, AR 72756-8087
(479) 925-3632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3060
AR
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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