Provider Demographics
NPI:1104902345
Name:HOLLANDER, BRIAN NEAL (DDS MS)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:NEAL
Last Name:HOLLANDER
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 HILL ROAD SUITE 4
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94947
Mailing Address - Country:US
Mailing Address - Phone:415-898-6660
Mailing Address - Fax:415-898-7373
Practice Address - Street 1:1615 HILL ROAD
Practice Address - Street 2:SUITE 4
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94947
Practice Address - Country:US
Practice Address - Phone:415-898-6660
Practice Address - Fax:415-898-7373
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA356141223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics