Individual
DR. DARYL GRANT HOLDREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1231 S WEBSTER AVE, GREEN BAY, WI 54301-3007
(920) 437-7188
Mailing address
1231 S WEBSTER AVE, GREEN BAY, WI 54301-3007
(920) 437-7188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4401
WI
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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