JACOB HOLLY

PHOENIX, AZ
NPI1336678283
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: AZ  D009739)
Enumeration Date2017-06-05
Last Update Date2017-06-05
Business Address
JACOB HOLLY
3750 W GREENWAY RD
PHOENIX, AZ 85053-3703
Phone number: 623-377-4945
Mailing Address
JACOB HOLLY
9533 W BLUE SKY DR
PEORIA, AZ 85383-8741
Phone number:
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