Individual
DR. JETTA RENAE HOLLOWAY-JANKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
208 S MILL ST, BELOIT, KS 67420-3239
(785) 738-3758
(785) 738-2737
Mailing address
PO BOX 466, BELOIT, KS 67420-0466
(785) 738-3758
(785) 738-2737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60645
KS
Other
Enumeration date
06/03/2010
Last updated
06/08/2010
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