Individual
DR. ANDY S. HOLTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
136 PARTIN DR N, NICEVILLE, FL 32578-2054
(850) 678-7114
Mailing address
6028 STERLING RIVER WAY, NICEVILLE, FL 32578-1535
(407) 310-7032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16362
FL
Other
Enumeration date
03/21/2006
Last updated
06/16/2020
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