| Lee F. Hollister,dds Jon E. Hollisterdds Dental Corporation | |
|
1042 Pacific St Suite B San Luis Obispo CA 93401-3621 | |
| (805) 543-6963 | |
| (805) 543-8656 |
| Full Name | Lee F. Hollister,dds Jon E. Hollisterdds Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1042 Pacific St, San Luis Obispo, California |
| Authorized Official Name and Position | Jon E. Hollister (DENTIST OWNER) |
| Authorized Official Contact | 8055436963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee F. Hollister,dds Jon E. Hollisterdds Dental Corporation 1042 Pacific St Suite B San Luis Obispo CA 93401-3621 Ph: (805) 543-6963 | Lee F. Hollister,dds Jon E. Hollisterdds Dental Corporation 1042 Pacific St Suite B San Luis Obispo CA 93401-3621 Ph: (805) 543-6963 |
| NPI Number | 1962609529 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962609529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 28328 (California) | Primary |
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