Individual
HOLLY CAVNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1407 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3315
(573) 778-3042
Mailing address
110 S 2ND ST, ELLINGTON, MO 63638-9400
(573) 663-2313
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2015018845
MO
Other
Enumeration date
06/29/2016
Last updated
05/01/2017
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