Holley Family Dentistry Fredericksburg | |
974 Bragg Rd Fredericksburg VA 22407-6979 | |
(540) 785-5885 | |
Not Available |
Full Name | Holley Family Dentistry Fredericksburg |
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Speciality | Dentist - General Practice |
Location | 974 Bragg Rd, Fredericksburg, Virginia |
Authorized Official Name and Position | Nichole P Livesay (OFFICE MANAGER) |
Authorized Official Contact | 5407855885 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Holley Family Dentistry Fredericksburg 974 Bragg Rd Fredericksburg VA 22407-6979 Ph: (540) 785-5885 | Holley Family Dentistry Fredericksburg 974 Bragg Rd Fredericksburg VA 22407-6979 Ph: (540) 785-5885 |
NPI Number | 1467606608 |
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Provider Enumeration Date | 11/14/2008 |
Last Update Date | 11/14/2008 |
Identifier | Type | State | Issuer |
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1467606608 | NPI | - | NPPES |
6239 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7431 (Virginia) | Primary |
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