Matthew James Holloman, DDS Valid NPI
Individual provider · General Practice Dentistry · Edmond, OK
- NPI
- 1578745857
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 5866 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-11-29
- Last updated
- 2019-01-11
Practice location
218 E 10th Street Plz
Edmond, OK 73034-4737
(405) 341-7046