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 |