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Individual

ALICIA KAY HOLIMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH, BSDH, EPDH

Contact information

Practice address
7460 SW HUNZIKER RD STE H, TIGARD, OR 97223-8244
(503) 521-7166
Mailing address
875 SE 66TH WAY, HILLSBORO, OR 97123-6217
(707) 972-4640

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8076
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500785672
OR
Enumeration date
09/29/2020
Last updated
10/17/2022
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