Individual
DR. HOLLY J. HOUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2433 MALONEY DRIVE, BLOOMINGTON, IL 61704
(309) 662-9042
Mailing address
2433 MALONEY DRIVE, BLOOMINGTON, IL 61704
(309) 662-9042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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