Organization
LARA KIRSTIN HOLLY DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA KIRSTIN HOLLY DMD (OWNER)
(214) 378-8868
Entity
Organization
Contact information
Practice address
8355 WALNUT HILL LN STE 125, DALLAS, TX 75231-4237
(214) 378-8868
Mailing address
8355 WALNUT HILL LN STE 125, DALLAS, TX 75231-4237
(214) 378-8868
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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