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Individual

DR. HOLLY LYNN BIDWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2411 CROFTON LN, SUITE 19A, CROFTON, MD 21114-1304
(410) 451-3299
Mailing address
2411 CROFTON LN, SUITE 19A, CROFTON, MD 21114-1304
(410) 451-3299

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12665
MD

Other

Enumeration date
09/25/2008
Last updated
09/25/2008
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