DR. Lesley S Holloway, DDS

NPI #1144540311 in Wayne, Nebraska

Provider Information

NPI Number: 1144540311
Entity Type: Individual
Name: DR. Lesley S Holloway, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 10, 2010
Last Updated: Oct 25, 2011

Practice Location

Address: 115 W. 3RD ST.
City: Wayne
State: Nebraska
ZIP Code: 68787-0217
Phone: (402) 375-1124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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