Individual provider · Type 1 NPI

Davern Latoya Holloway, DDS

Student in an Organized Health Care Education/Training Program · Columbus, OH

NPI number 1700570215 Active

Practice location

305 W 12th Ave
Columbus, OH 43210-1267

Mailing address

6019 Hathaway Ave
Dublin, OH 43016-6723

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X30027247 (OH)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700570215

Davern Latoya Holloway, DDS's National Provider Identifier is 1700570215, issued on Jun 7, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbus, OH. The record was last updated on Sep 8, 2023.