Individual
DR. WILLIAM H OLIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2720 1ST AVENUE NE, CEDAR RAPIDS, IA 52402
(319) 365-6628
(319) 896-4747
Mailing address
2720 1ST AVENUE NE, CEDAR RAPIDS, IA 52402
(319) 365-6628
(319) 896-4747
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
06572
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005413
—
IA
Enumeration date
01/30/2007
Last updated
07/08/2007
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