Individual
DR. JUSTIN MICAH HOLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1060 YOUNG ST, SUITE 312, HONOLULU, HI 96814-1609
(808) 585-8455
Mailing address
2126 AHAPII PL, HONOLULU, HI 96821-1016
(773) 315-5839
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
19026100
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00010161
WA
Other
Enumeration date
06/24/2007
Last updated
01/22/2014
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