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Individual

DR. DUSTIN B HOLLADAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
220 MIDDLEBURG DR, MYRTLE BEACH, SC 29579
(843) 903-3111
(843) 903-3110
Mailing address
220 MIDDLEBURG DR, MYRTLE BEACH, SC 29579
(843) 903-3111
(843) 903-3110

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4126
SC

Other

Enumeration date
11/30/2006
Last updated
07/22/2008
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