Individual
HOLLY HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
97 E 4TH ST, NEW YORK, NY 10003-9002
(212) 292-3848
Mailing address
97 E 4TH ST, NEW YORK, NY 10003-9002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
060467
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060467
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2018
Last updated
07/10/2024
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