Organization
HOLDEN CORRELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLDEN LEE CORRELL DDS (DENTIST)
(785) 969-6531
Entity
Organization
Contact information
Practice address
4102 W 6TH ST STE B, LAWRENCE, KS 66049-4626
(785) 969-6531
Mailing address
4102 W 6TH ST STE B, LAWRENCE, KS 66049-4626
(785) 969-6531
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/25/2018
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