Individual
BARRY GRAY HOLYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 ASSOCIATE DR, GREENSBORO, NC 27405-3879
(336) 621-2465
Mailing address
3501 ASSOCIATE DR, GREENSBORO, NC 27405-3879
(336) 621-2465
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043948631
NPPES
—
Enumeration date
10/03/2022
Last updated
10/03/2022
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