Provider Demographics
NPI:1457445223
Name:HOLZMANN, JOLANTA ZOFIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOLANTA
Middle Name:ZOFIA
Last Name:HOLZMANN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOLANTA
Other - Middle Name:ZOFIA
Other - Last Name:SIKORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:68 21 BORDEN AVENUE
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378
Mailing Address - Country:US
Mailing Address - Phone:718-205-8300
Mailing Address - Fax:
Practice Address - Street 1:68 21 BORDEN AVENUE
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378
Practice Address - Country:US
Practice Address - Phone:718-205-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0424941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice