Individual
GLEN DALE HOLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2600 F ST, VANCOUVER, WA 98663-3031
(360) 694-2539
(360) 694-1855
Mailing address
2600 F ST, VANCOUVER, WA 98663-3031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00004353
WA
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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