Provider Demographics
NPI:1114206844
Name:HOLINA, VALENTINA (DMD)
Entity Type:Individual
Prefix:
First Name:VALENTINA
Middle Name:
Last Name:HOLINA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5440 MARCONI AVE APT 11
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-4466
Mailing Address - Country:US
Mailing Address - Phone:916-690-0380
Mailing Address - Fax:
Practice Address - Street 1:6994 SUNRISE BLVD
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-3144
Practice Address - Country:US
Practice Address - Phone:916-723-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60740122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist