Individual
DR. BERNARD MATT HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4530 BENTON RD STE 200, BOSSIER CITY, LA 71111-2435
(318) 375-2851
Mailing address
117 N PINE ST, VIVIAN, LA 71082-2743
(318) 375-2851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6147
LA
Other
Enumeration date
06/04/2011
Last updated
06/11/2019
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