Individual
MR. GABRIEL MARTIN HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
110A HOSPITAL DR, SIMPSONVILLE, SC 29681-3226
(304) 377-0014
Mailing address
110A HOSPITAL DR, SIMPSONVILLE, SC 29681-3226
(864) 987-7030
(864) 987-0198
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8212
SC
1223E0200X
Endodontics
817
SC
1223G0001X
General Practice Dentistry
Primary
8212
SC
Other
Enumeration date
07/05/2011
Last updated
08/29/2023
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