Individual
HOLLIS PEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(757) 953-8635
Mailing address
5243 SERENO DR UNIT A, TEMPLE CITY, CA 91780-3014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401420128
VA
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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