Most Relevant Information
Provider Data
| NPI Number: | 1003039579 |
| Provider Name: | HOLLY D SHARP |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 9220 |
Most Important Dates
| Enumeration Date: | 04/11/2007 |
| Last Updated: | 05/05/2022 |
Provider Practice Location
102 1/2 W 18TH ST
DURANGO
CO
813015010
Practice Location Phone/Fax
| Phone: | 9702475565 |
| Fax: |
Provider Mailing Location
102 1/2 W 18TH ST
DURANGO
CO
813015010
Provider Mailing Phone/Fax
| Phone: | 9702475565 |
| Fax: |