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Organization
FAMILY DENTISTRY TOWN CENTER, INC.
Active
Organization
FAMILY DENTISTRY TOWN CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWENDOLYN A. HOLLEY D.D.S. (PRESIDENT)
(757) 497-3279
Entity
Organization
Contact information
Practice address
310 HORACE AVE, VIRGINIA BEACH, VA 23462-2704
(757) 497-3279
Mailing address
310 HORACE AVE, VIRGINIA BEACH, VA 23462-2704
(757) 497-3279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005542
VA
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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