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Individual

DR. SHAUNA H. HOLLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3662 FLAKES MILL RD STE A, DECATUR, GA 30034-5219
(770) 593-2202
(770) 593-2602
Mailing address
3662 FLAKES MILL RD STE A, DECATUR, GA 30034-5219
(770) 593-2202
(770) 593-2602

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012104
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000948769A
GA
Enumeration date
09/25/2006
Last updated
05/06/2015
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