Hollywood, Kimberly Marie

Hollywood, Kimberly Marie is an individual health care provider with primary practice located at 500 Franklin Ave , Nutley NJ 07110-1720. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Hollywood, Kimberly Marie can be contacted via phone (973) 667-5507.

Contact Information

Primary practice address
500 Franklin Ave Nutley NJ 07110-1720
Phone: (973) 667-5507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 22DI02508000 New Jersey

Profile Details

NPI number 1821364118
LBN Legal business name Hollywood, Kimberly Marie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2012
Last updated Apr 20th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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