Individual provider · Type 1 NPI
Michael Kenneth Holler, D.M.D
Periodontics · Port Hueneme, CA
NPI number
1457598849
Active
Practice location
720 23rd Ave Bldg 914
Port Hueneme, CA 93043-4312
Other practice locations
- 128 Lilly Rd NE Ste 105, Olympia, WA 98506-7400 · (360) 357-9880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 64187 (CA) |
Periodontics: 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.
Another provider at this address
About NPI 1457598849
Michael Kenneth Holler, D.M.D's National Provider Identifier is 1457598849, issued on Jan 7, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Port Hueneme, CA. The record was last updated on Jan 30, 2025.