Individual
DR. HOLLY RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
412 SECURITY SQ, GULFPORT, MS 39507-1952
(228) 896-6321
(228) 896-6322
Mailing address
412 SECURITY SQ, GULFPORT, MS 39507-1952
(228) 896-6321
(228) 896-6322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4198-21
MS
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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