Organization
FAMILY DENTISTRY TOWN CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWENDOLYN A. HOLLEY D.D.S. (PRESIDENT)
(757) 497-3279
Entity
Organization
Contact information
Practice address
310 HORACE AVE, VIRGINIA BEACH, VA 23462-2704
(757) 497-3279
Mailing address
310 HORACE AVE, VIRGINIA BEACH, VA 23462-2704
(757) 497-3279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005542
VA
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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