Organization
KENNETH EUGENE HOLLAND, JR., DDS, MS, PLLC
Active
Other names
Kenneth E Holland, Jr, DDS, MS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH EUGENE HOLLAND JR. DDS, MS (PRESIDENT)
(928) 710-4974
Entity
Organization
Contact information
Practice address
13821 N 35TH DR, SUITE 1, PHOENIX, AZ 85053-5541
(928) 710-4974
Mailing address
1560 W SAHUARO DR, APT 2, PHOENIX, AZ 85029-5070
(928) 710-4974
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4291
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
422056
DEPT OF ECONOM SEC - CMDP
AZ
Enumeration date
05/11/2007
Last updated
01/17/2014
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