Organization
KENNETH E. HOLLAND, JR., DDS, MS, PC
Active
Other names
Orthodontic Centers of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH EUGENE HOLLAND JR. DDS, MS (PRESICENT)
(928) 759-9200
Entity
Organization
Contact information
Practice address
8841 EAST FLORENTINE ROAD, SUITE D, PRESCOTT VALLEY, AZ 86314
(928) 759-9200
(928) 775-0248
Mailing address
8841 EAST FLORENTINE ROAD, SUITE D, PRESCOTT VALLEY, AZ 86314
(928) 759-9200
(928) 775-0248
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4291
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
422056
DEPT OF ECOMON SEC - CMDP
AZ
Enumeration date
05/04/2007
Last updated
02/04/2010
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