Provider Demographics
NPI:1598051674
Name:HOLZHAUER, ELIZABETH DOLAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:DOLAN
Last Name:HOLZHAUER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:MCLAUGHLIN
Other - Last Name:DOLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:51 WELLES DR
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-2626
Mailing Address - Country:US
Mailing Address - Phone:860-916-7478
Mailing Address - Fax:
Practice Address - Street 1:65 MEMORIAL RD
Practice Address - Street 2:SUITE 400
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2434
Practice Address - Country:US
Practice Address - Phone:860-233-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT107981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice