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Search › Arizona › 1223G0001X

Jacob Holly

NPI 1336678283 · on the registry since 2017 · sole proprietor

Practice

Address
3750 W Greenway Rd
Phoenix, AZ 85053
Phone
(623) 377-4945
Organisation at this address
Jra Dental, Pllc
Dental Depot Ortho Greenway Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona