Organization
HOLLEY FAMILY DENTISTRY OF VIRGINIA BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA MICHELLE MCNAIR (OFFICE MGR)
(757) 393-2401
Entity
Organization
Contact information
Practice address
940 GENERAL BOOTH BLVD, SUITE C, VIRGINIA BEACH, VA 23451
(757) 425-1155
(757) 428-1188
Mailing address
940 GENERAL BOOTH BLVD, SUITE C, VIRGINIA BEACH, VA 23451
(757) 428-1188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007431
VA
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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