Individual
PAMELA HOLSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 643-2196
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 643-2196
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3146
SC
124Q00000X
Dental Hygienist
9971
NC
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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