Individual
MRS. GLORIA LAVERN BERRY HOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
305 MEADOWLAND DR, HILLSBOROUGH, NC 27278
(919) 732-8584
(919) 732-8545
Mailing address
PO BOX 1118, 305 MEADOWLAND DR, HILLSBOROUGH, NC 27278
(919) 732-8584
(919) 732-8545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4833
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990678
—
NC
01
—
C50836
UPIN
NC
Enumeration date
01/15/2008
Last updated
02/14/2013
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