Jacob Holly
Jacob Holly is a General Practice Dentistry in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2017
Practice location Address checks out
3750 W Greenway RdPhoenix, AZ 85053-3703
Phone: (623) 377-4945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D009739 (AZ) |
|---|
Record details
| NPI number | 1336678283 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2017 |
| Last updated in NPPES | June 5, 2017 |
| Mailing address | 9533 W Blue Sky Dr, Peoria, AZ 85383-8741 |
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