Individual
ASHLEY ALTAZIN HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 72764-4634
(479) 751-7417
(479) 751-4898
Mailing address
614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 72764-4634
(479) 751-7417
(479) 751-4898
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3865
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193840608
—
AR
Enumeration date
06/27/2012
Last updated
01/15/2019
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