Individual
DR. ALFRED WALTER HOLLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
559 E MAIN ST, MALONE, NY 12953
(518) 483-1470
(518) 483-2702
Mailing address
559 E MAIN ST, MALONE, NY 12953
(518) 483-1470
(518) 483-2702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
028322
NY
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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