Individual
DR. LESLEY S HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
115 W. 3RD ST., WAYNE, NE 68787-0217
(402) 375-1124
(402) 375-3796
Mailing address
P.O. BOX 217, WAYNE, NE 68787-0217
(402) 375-1124
(402) 375-3796
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6894
NE
1223G0001X
General Practice Dentistry
6894
NE
Other
Enumeration date
06/10/2010
Last updated
10/25/2011
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