Individual
DR. KASHEENA S HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1270 W MAIN ST, SUN PRAIRIE, WI 53590-1930
(608) 443-5482
(608) 837-9134
Mailing address
2901 W BELTLINE HWY, SUITE 120, MADISON, WI 53713-4226
(608) 443-5500
(608) 441-2385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30-023210
OH
1223G0001X
General Practice Dentistry
Primary
7188-15
WI
Other
Enumeration date
07/15/2010
Last updated
01/10/2014
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