Individual
IRENE MARGARET HOLLOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
229 DENVER AVE, FORT LUPTON, CO 80621
(303) 857-4377
Mailing address
229 DENVER AVE, FORT LUPTON, CO 80621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104267
CO
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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