Individual
DR. STEPHEN ALEXANDER HOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
440 E BROAD ST, WESTFIELD, NJ 07090-2124
(908) 356-6317
Mailing address
440 E BROAD ST, WESTFIELD, NJ 07090-2124
(908) 356-6317
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02921300
NJ
122300000X
Dentist
D10581
OR
1223G0001X
General Practice Dentistry
DS041025
PA
Other
Enumeration date
08/15/2016
Last updated
09/22/2022
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