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Dr. Michael Kenneth Holler, DMD
Periodontist in Olympia, Washington
NPI 1457598849

Michael Kenneth Holler is a Periodontist based in Olympia, WA and is specialized in Periodontics. Michael Kenneth Holler practices in Olympia, WA and has the professional credentials of DMD. The NPI Number for Michael Kenneth Holler is 1457598849 and holds a License No. DE 60065981 (Washington).

The current practice location address for Michael Kenneth Holler is 128 Lilly Rd Ne Ste 105, Olympia, WA and can be reached out via phone at 360-357-9880.

Location: 128 Lilly Rd Ne Ste 105, Olympia, WA, 98506-7400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457598849
Provider Name
Michael Kenneth Holler
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
128 Lilly Rd Ne Ste 105, Olympia, WA, 98506-7400
Phone Number
360-357-9880
Fax Number
Provider Enumeration Date
01/07/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
128 Lilly Rd Ne Ste 105
City
Olympia
State
Washington
Zip
98506-7400
Phone Number
360-357-9880
Fax Number
person
Provider Business Mailing Address Details
Address
128 Lilly Rd Ne Ste 105
City
Olympia
State
Washington
Zip
98506-7400
Phone Number
360-357-9880
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DE 60065981 (Washington)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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