Mark Wayne Holloway, DDS Valid NPI
Individual provider · Dentist · Rosenberg, TX
- NPI
- 1043322472
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- TX13467 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Practice location
2818 Ave I
Rosenberg, TX 77471
(281) 342-6680