Individual
HOLLY LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 N MULDOON RD, ANCHORAGE, AK 99504-6104
(907) 257-6791
Mailing address
7920 ANDERSON CIR UNIT A, JBER, AK 99506-3453
(850) 524-2064
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
199194
FL
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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