Individual
DR. ASHLEY JUANITA HOLLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4400 MCINNIS AVE, MOSS POINT, MS 39563-2814
(228) 475-0005
(228) 475-0057
Mailing address
4400 MCINNIS AVE, MOSS POINT, MS 39563-2814
(228) 475-0005
(228) 475-0057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4386-23
MS
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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