Individual
DR. MICHAEL KENNETH HOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
720 23RD AVE BLDG 914, PORT HUENEME, CA 93043-4312
(805) 982-5584
Mailing address
720 23RD AVE BLDG 914, PORT HUENEME, CA 93043-4312
(805) 982-5584
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
64187
CA
Other
Enumeration date
01/07/2009
Last updated
01/30/2025
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