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Organization

HOLLY SPRINGS FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEW AUSTIN TAYLOR (PRACTICE MANAGER)
(919) 290-2772
Entity
Organization

Contact information

Practice address
190 ROSEWOOD CENTER DRIVE, SUITE 200, HOLLY SPRINGS, NC 27540
(919) 290-2772
(919) 270-2773
Mailing address
190 ROSEWOOD CENTER DRIVE, SUITE 200, HOLLY SPRINGS, NC 27540
(919) 290-2772
(919) 270-2773

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7601
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89902VV
NC
Enumeration date
04/01/2008
Last updated
08/19/2008
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