Individual
DR. BRENDA LYNN HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
147 SALEM CT, TALLAHASSEE, FL 32301-2809
(850) 309-1299
(850) 309-1399
Mailing address
147 SALEM CT, TALLAHASSEE, FL 32301-2809
(850) 309-1299
(850) 309-1399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN-15418
FL
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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