Most Relevant Information
Provider Data
| NPI Number: | 1003812033 |
| Provider Name: | LARA KIRSTIN HOLLY D.M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0221X |
| Specialty: | Dentist |
| License Number: | 19501 |
Most Important Dates
| Enumeration Date: | 06/23/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
8355 WALNUT HILL LN
STE 125
DALLAS
TX
752314237
Practice Location Phone/Fax
| Phone: | 2143788868 |
| Fax: | 2143786182 |
Provider Mailing Location
8355 WALNUT HILL LN
STE 125
DALLAS
TX
752314237
Provider Mailing Phone/Fax
| Phone: | 2143788868 |
| Fax: | 2143786182 |