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Individual

DR. GWENDOLYN A. HOLLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
118 BISHOP THOROUGHGOOD AVE, VIRGINIA BEACH, VA 23451-5826
(757) 358-1537
Mailing address
118 BISHOP THOROUGHGOOD AVE, VIRGINIA BEACH, VA 23451-5826
(757) 358-1537

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05542
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9178566
VA
Enumeration date
01/31/2007
Last updated
04/22/2024
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