Individual
JEFFREY L HOLLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11282 M 140, SOUTH HAVEN, MI 49090-9405
(269) 637-8611
(269) 637-8956
Mailing address
11282 M 140, SOUTH HAVEN, MI 49090-9405
(269) 637-8611
(269) 637-8956
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012614
MI
Other
Enumeration date
06/23/2005
Last updated
07/08/2007
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