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Organization
GUILFORD DENTAL LAB
Active
Organization
GUILFORD DENTAL LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY HOLYFIELD (OWNER)
(336) 944-5898
Entity
Organization
Contact information
Practice address
3501 ASSOCIATE DR, GREENSBORO, NC 27405-3879
(336) 944-5898
Mailing address
3501 ASSOCIATE DR, GREENSBORO, NC 27405-3879
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
—
NULL
126900000X
Dental Laboratory Technician
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/29/2022
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