Lee F. Hollister,dds Jon E. Hollisterdds Dental Corporation
NPI #1962609529 in San Luis Obispo, California
Provider Information
- NPI Number
- 1962609529
- Entity Type
- Organization
- Organization Name
- Lee F. Hollister,dds Jon E. Hollisterdds Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 28, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1042 PACIFIC ST
- Address 2
- SUITE B
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-3621
- Phone
- (805) 543-6963
Authorized Official
- Name
- JON E. HOLLISTER, DDS
- Title
- DENTIST OWNER
- Phone
- (805) 543-6963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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