| Kevin Holly Dds Pllc | |
|
520 Highway 96 W Ste 400 Shoreview MN 55126-3201 | |
| (651) 482-7564 | |
| Not Available |
| Full Name | Kevin Holly Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 520 Highway 96 W Ste 400, Shoreview, Minnesota |
| Authorized Official Name and Position | Kevin Holly (PRESIDENT) |
| Authorized Official Contact | 6087386361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Holly Dds Pllc 520 Highway 96 W Ste 400 Shoreview MN 55126-3201 Ph: (651) 482-7564 | Kevin Holly Dds Pllc 520 Highway 96 W Ste 400 Shoreview MN 55126-3201 Ph: (651) 482-7564 |
| NPI Number | 1487224754 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 06/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487224754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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