Organization
DAVIDA A. HOLLERMAN D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVIDA ANN HOLLERMAN D.M.D. (PRESIDENT)
(901) 679-6090
Entity
Organization
Contact information
Practice address
525 N MAIN ST, MEMPHIS, TN 38105-1635
(877) 664-8664
(901) 525-5407
Mailing address
550 S JEFFERSON PL, MEMPHIS, TN 38105-5257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7837
TN
Other
Enumeration date
04/23/2007
Last updated
06/20/2011
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