Individual
DR. KEITH VAUGHN HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4114 HERSCHEL ST, SUITE 106A, JACKSONVILLE, FL 32210-2206
(904) 389-3694
Mailing address
4114 HERSCHEL ST, SUITE 106A, JACKSONVILLE, FL 32210-2206
(904) 389-3694
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL6827
FL
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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