Randolph Holly, DDS

NPI #1871663427 in Endicott, New York

Provider Information

NPI Number: 1871663427
Entity Type: Individual
Name: Randolph Holly, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DDS
Enumeration Date: Nov 9, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 1003 MONROE STREET
City: Endicott
State: New York
ZIP Code: 13760
Phone: (607) 757-0455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Organizations

Provider Name	Specialty	City
Associates in Oral and Maxillofacial , Surgery	Dentist - Oral and Maxillofacial Surgery	Endicott	AI Deep Dive

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