Organization
J. HOLLAR, DMD, PLLC
Active
Other names
Oral Surgery Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN M HOLLAR DMD (OWNER/ORAL SURGEON)
(360) 450-2121
Entity
Organization
Contact information
Practice address
2621 NE 134TH ST, SUITE 210, VANCOUVER, WA 98686-3036
(360) 450-2121
(360) 859-4524
Mailing address
2621 NE 134TH ST, SUITE 210, VANCOUVER, WA 98686-3036
(360) 450-2121
(360) 859-4524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE00004353
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE 00010161
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000538
—
WA
Enumeration date
03/17/2016
Last updated
03/17/2016
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