| Kenneth A Holman Dds Inc | |
|
52 Arch St #2 Redwood City CA 94062 | |
| (650) 366-5758 | |
| (650) 366-0714 |
| Full Name | Kenneth A Holman Dds Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 52 Arch St, Redwood City, California |
| Authorized Official Name and Position | Kenneth Alan Holman (CORP OFFICER) |
| Authorized Official Contact | 6503665758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth A Holman Dds Inc 52 Arch St #2 Redwood City CA 94062 Ph: (650) 366-5758 | Kenneth A Holman Dds Inc 52 Arch St #2 Redwood City CA 94062 Ph: (650) 366-5758 |
| NPI Number | 1427111566 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427111566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 23516 (California) | Primary |
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