Individual
HOLLY D. HATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.D.
Contact information
Practice address
15725 POMERADO RD, SUITE 205, POWAY, CA 92064-2068
(858) 451-0200
(858) 451-0250
Mailing address
15725 POMERADO RD, SUITE 205, POWAY, CA 92064-2068
(858) 451-0200
(858) 451-0250
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
53345
CA
174400000X
Specialist
A91989
CA
Other
Enumeration date
10/16/2006
Last updated
04/25/2019
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