Edward Kelly Holly D.D.S.

NPI 1053350512 - Dentist - 1223G0001X

NPI Details
NPI 1053350512
Gender Male
Enumeration Date 06/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
3340 KEMPER ST
SUITE 201
SAN DIEGO CA, 92110-4906, US
Phone (619) 224-2828
Fax (619) 224-2636
Business Location
3340 KEMPER ST
SUITE 201
SAN DIEGO CA, 92110-4906, US
Phone (619) 224-2828
Fax (619) 224-2636
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 33706
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According to our database, Dr. Edward Kelly Holly D.D.S. NPI is 1053350512, taxonomy code is 1223G0001X and license number is 33706, license state is located at California. Edward Kelly Holly D.D.S. physically located at 3340 Kemper St, San Diego CA, 92110-4906. NPI Number Edward Kelly Holly D.D.S. has the Individual type.

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1053350512 NPI number is provided on an as is basis without warranty of any kind. 1053350512 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Kelly Holly D.D.S. are for informational purposes only.