JACK L HOLLY

ELIZABETHTON, TN
NPI1346364593
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: TN  DS2986)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
DR. JACK L HOLLY DDS
417 HUDSON DR
ELIZABETHTON, TN 37643-2881
Phone number: 423-543-4141
Mailing Address
DR. JACK L HOLLY DDS
417 HUDSON DR
ELIZABETHTON, TN 37643-2881
Phone number: 423-543-4141
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