| Kenneth E. Holland, Jr., Dds, Ms, Pc | |
|
8841 East Florentine Road Suite D Prescott Valley AZ 86314 | |
| (928) 759-9200 | |
| (928) 775-0248 |
| Full Name | Kenneth E. Holland, Jr., Dds, Ms, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8841 East Florentine Road, Prescott Valley, Arizona |
| Authorized Official Name and Position | Kenneth Eugene Holland (PRESICENT) |
| Authorized Official Contact | 9287599200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth E. Holland, Jr., Dds, Ms, Pc 8841 East Florentine Road Suite D Prescott Valley AZ 86314 Ph: (928) 759-9200 | Kenneth E. Holland, Jr., Dds, Ms, Pc 8841 East Florentine Road Suite D Prescott Valley AZ 86314 Ph: (928) 759-9200 |
| NPI Number | 1780896274 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780896274 | NPI | - | NPPES |
| 422056 | Other | AZ | DEPT OF ECOMON SEC - CMDP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4291 (Arizona) | Primary |
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