Provider Demographics
NPI:1801905567
Name:DUNLOP HARDING, HOLLY (DMD)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:
Last Name:DUNLOP HARDING
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 1:1565 HOLLENBECK AVE
Mailing Address - Street 2:SUITE 116
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-5922
Mailing Address - Country:US
Mailing Address - Phone:408-736-6132
Mailing Address - Fax:408-736-8606
Practice Address - Street 1:1565 HOLLENBECK AVE
Practice Address - Street 2:SUITE 116
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-5922
Practice Address - Country:US
Practice Address - Phone:408-736-6132
Practice Address - Fax:408-736-8606
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA548271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice