Individual
BRYAN J HOLLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16270 AIRLINE HWY, SUITE B, PRAIRIEVILLE, LA 70769-4248
(225) 744-2722
(225) 744-2724
Mailing address
16270 AIRLINE HWY, SUITE B, PRAIRIEVILLE, LA 70769-4248
(225) 744-2722
(225) 744-2724
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4788
LA
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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