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Individual

DR. JOHN WILLIAM HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2115 NE 42ND AVE, PORTLAND, OR 97213-1321
(503) 281-8551
(503) 281-2270
Mailing address
2115 NE 42ND AVE, PORTLAND, OR 97213-1321
(503) 281-8551
(503) 281-2270

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6934
OR

Other

Enumeration date
08/12/2006
Last updated
07/08/2007
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