Individual
DR. KEVIN JOHN HOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1637 MAIN ST, ONALASKA, WI 54650-2853
(608) 781-3999
Mailing address
1637 MAIN ST, ONALASKA, WI 54650-2853
(608) 781-3999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001548-15
WI
Other
Enumeration date
05/13/2017
Last updated
07/21/2022
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