Organization
DIAMOND DENTAL SOLUTIONS
Active
Other names
Holley Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DAVID HOLLEY DMD (PRESIDENT AND CEO)
(334) 358-4848
Entity
Organization
Contact information
Practice address
542 MCQUEEN SMITH RD N, PRATTVILLE, AL 36066-5558
(334) 358-4848
Mailing address
542 MCQUEEN SMITH RD N, PRATTVILLE, AL 36066-5558
(334) 358-4848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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