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Individual

DR. WILLIAM EDWARD HOLLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
24244 5TH AVE, FLORALA, AL 36442-3522
(334) 858-6816
(334) 858-6816
Mailing address
24244 5TH AVE, FLORALA, AL 36442-3522
(334) 858-6816
(334) 858-6816

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2763
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00564533
UNITED CONCORDIA
PA
05
008402140
AL
05
077447200
FL
01
51093348
BC/BS
AL
Enumeration date
07/17/2006
Last updated
07/09/2007
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