NPI | 1437364809 |
---|---|
Former Legal Business Name | KENNETH E HOLLAND, JR, DDS, MS |
Entity Type | Organization |
Authorized Contact | KENNETH EUGENE HOLLAND President 928-710-4974 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ 4291) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2014-01-17 |