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Individual

DR. R. GAYLE HOLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
1345 E 3900 S, STE 202, SALT LAKE CITY, UT 84124-1474
(801) 278-2819
(801) 278-2546
Mailing address
1345 E 3900 S, STE 202, SALT LAKE CITY, UT 84124-1474
(801) 278-2819
(801) 278-2546

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22137142-9921
UT

Other

Enumeration date
11/02/2006
Last updated
07/08/2007
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