Organization
ROYAL DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATASHIA HOLMES D.D.S (DENTIST)
(770) 503-7130
Entity
Organization
Contact information
Practice address
821 DAWSONVILLE HWY STE 150, GAINESVILLE, GA 30501-2634
(770) 503-7130
(770) 503-7131
Mailing address
821 DAWSONVILLE HWY STE 150, GAINESVILLE, GA 30501-2634
(770) 503-7130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012868
GA
1223G0001X
General Practice Dentistry
DN013188
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199726296A
—
GA
05
—
199726296E
—
GA
05
—
199726296F
—
GA
Enumeration date
02/06/2009
Last updated
02/06/2009
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