| NPI | 1790989200 |
|---|---|
| Other Name | DREW HOLLOMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 18076) |
| Additional Taxonomies | 122300000X Dentist (Licence: OK 5949) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2016-03-10 |