Individual
DR. KIMBERLY JACOBSEN HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
384 ST ANDREWS RD, COLUMBIA, SC 29210-4427
(803) 772-9994
(803) 772-7736
Mailing address
341 AMSTAR ROAD, COLUMBIA, SC 29212-8270
(803) 732-0016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3323
SC
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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