Individual
DR. ADRIENNE R HOLOSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1630 45TH ST STE 104, MUNSTER, IN 46321-3959
(219) 924-8766
Mailing address
1630 45TH ST STE 104, MUNSTER, IN 46321-3959
(219) 924-8766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013231A
IN
Other
Enumeration date
07/03/2019
Last updated
07/11/2019
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