Organization
RONNIE L HOLD DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE DAVENPORT (OFFICE MANAGER)
(706) 632-2085
Entity
Organization
Contact information
Practice address
823 E MAIN ST, BLUE RIDGE, GA 30513-4575
(706) 632-2085
(706) 632-8685
Mailing address
823 E MAIN ST, BLUE RIDGE, GA 30513-4575
(706) 632-2085
(706) 632-8685
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11866
GA
1223G0001X
General Practice Dentistry
DN009036
GA
1223G0001X
General Practice Dentistry
DN010761
GA
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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