RANDOLPH HOLLY

ENDICOTT, NY
NPI1871663427
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NY  0369901)
Enumeration Date2006-11-09
Last Update Date2007-07-09
Business Address
-- RANDOLPH HOLLY DDS
1003 MONROE STREET
ENDICOTT, NY 13760
Phone number: 607-757-0455
Mailing Address
-- RANDOLPH HOLLY DDS
1003 MONROE ST
ENDICOTT, NY 13760-5221
Phone number: 607-757-0455