Individual
DANETTE ELIZABETH HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS.
Contact information
Practice address
1245 SOUTHERN BLVD., BRONX NY, NY 10459
(718) 893-3560
Mailing address
1245 SOUTHERN BLVD, BRONX, NY 10459-1903
(718) 893-3560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043916-1
NY
1223G0001X
General Practice Dentistry
DN13091
FL
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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