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Dr. Jon Edwin Hollister, DDS
General Practice Dentistry in San Luis Obispo, California
NPI 1528102407

Jon Edwin Hollister is a General Practice Dentistry based in San Luis Obispo, CA and is specialized in General Practice. Jon Edwin Hollister practices in San Luis Obispo, CA and has the professional credentials of DDS. The NPI Number for Jon Edwin Hollister is 1528102407 and holds a License No. 28328 (California).

The current practice location address for Jon Edwin Hollister is 1042 Pacific St, San Luis Obispo, CA and can be reached out via phone at 805-543-6963 and via fax at 805-543-8656.

Location: 1042 Pacific St, San Luis Obispo, CA, 93401-3621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528102407
Provider Name
Jon Edwin Hollister
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1042 Pacific St, San Luis Obispo, CA, 93401-3621
Phone Number
805-543-6963
Fax Number
805-543-8656
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1042 Pacific St
City
San Luis Obispo
State
California
Zip
93401-3621
Phone Number
805-543-6963
Fax Number
805-543-8656
person
Provider Business Mailing Address Details
Address
1042 Pacific St
City
San Luis Obispo
State
California
Zip
93401-3621
Phone Number
805-543-6963
Fax Number
805-543-8656
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
28328 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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