Individual
DR. SEAN R. HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
98-1247 KAAHUMANU ST, SUITE 202, AIEA, HI 96701-5311
(808) 485-1177
Mailing address
98-1247 KAAHUMANU ST, SUITE 202, AIEA, HI 96701-5311
(808) 485-1177
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2077
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000255075
HMSA INSURANCE PROVIDER #
HI
01
—
01632510
UNITEDCONCORDIA PROVIDER#
HI
01
—
2077
HDS INSURANCE PROVIDER #
HI
Enumeration date
04/12/2007
Last updated
07/08/2007
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