Organization
DANE L. HOLLIS,D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANE L HOLLIS D.D.S. (PRESIDENT)
(479) 925-3632
Entity
Organization
Contact information
Practice address
14533 E HIGHWAY 12, ROGERS, AR 72756-8087
(479) 925-3632
Mailing address
14533 E HIGHWAY 12, ROGERS, AR 72756-8087
(479) 925-3632
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3060
AR
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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