Individual
DR. DAVERN LATOYA HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-2622
Mailing address
6019 HATHAWAY AVE, DUBLIN, OH 43016-6723
(909) 754-1435
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30027247
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
09/08/2023
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