Individual
DR. HOLLY ELIZBETH SISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
170 MILLER ST, GRANTSVILLE, MD 21536-1383
(301) 895-8076
(301) 895-8022
Mailing address
170 MILLER ST, GRANTSVILLE, MD 21536-1383
(301) 895-8076
(301) 895-8022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16648
MD
122300000X
Dentist
4216
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136367000
—
WV
Enumeration date
06/16/2016
Last updated
09/24/2018
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