Individual
DR. BRAD HOLIFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3221 AUDUBON DR, LAUREL, MS 39440-1422
(601) 649-3900
(601) 264-2723
Mailing address
3221 AUDUBON DR, LAUREL, MS 39440-1422
(601) 649-3900
(601) 264-2723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1890-80
MS
122300000X
Dentist
PER-201-87
MS
Other
Enumeration date
05/30/2016
Last updated
05/30/2016
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