Individual
DR. JARED HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3507 ROUND LAKE BLVD NW, ANOKA, MN 55303-5001
(763) 323-7677
Mailing address
3507 ROUND LAKE BLVD NW, ANOKA, MN 55303-5001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
112057379921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S239
MN
Other
Enumeration date
03/24/2019
Last updated
07/10/2025
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