Individual
DR. WESTON RAY HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5043 E BROADWAY RD, MESA, AZ 85206-1301
(480) 654-5500
Mailing address
5043 E BROADWAY RD, MESA, AZ 85206-1301
(480) 654-5500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009537
AZ
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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