# HOLLY DENTAL SERVICES P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760920334
- **Authorized official:** DR. NAM MINH PHAN (OWNER)
- **Authorized official phone:** (718) 359-3113

## Contact information

- **Practice address:** 14015 HOLLY AVE, GROUND FLOOR, FLUSHING, NY 11355-3433
- **Practice address phone:** (718) 359-3113
- **Practice address fax:** (718) 321-1478
- **Mailing address:** 14015 HOLLY AVE, GROUND FLOOR, FLUSHING, NY 11355-3433
- **Mailing address phone:** (718) 359-3113
- **Mailing address fax:** (718) 321-1478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0581811 | NY | Yes |

## Other

- **Enumeration date:** 02/03/2017
- **Last updated:** 02/03/2017