Individual
CONNOR HOLLOWWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 SAGEBRUSH ST SW, ALBUQUERQUE, NM 87105-3942
(505) 869-4866
Mailing address
1 SAGEBRUSH ST SW, ALBUQUERQUE, NM 87105-3942
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4132
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD4132
LICENSE
—
Enumeration date
08/20/2014
Last updated
08/20/2014
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