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Individual

DR. DAVID EARL HOLSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2201 LOUISIANA BLVD NE, SUITE D, ALBUQUERQUE, NM 87110
(505) 883-4867
(505) 883-4007
Mailing address
2201 LOUISIANA BLVD NE STE D, UPTOWN PARK DENTAL PRACTICE, LLC, ALBUQUERQUE, NM 87110-4547
(505) 883-4867
(505) 883-4007

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3486
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DD3486
STATE LIC
NM
Enumeration date
07/22/2011
Last updated
07/08/2013
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