Individual
HOLLY DEANN BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
11805 NEERING DR, DALLAS, TX 75218-1929
(469) 778-4006
Mailing address
11805 NEERING DR, DALLAS, TX 75218-1929
(469) 778-4006
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
18967
TX
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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