Organization
RICHARD D HOLLEY, DDS, PC
Active
Other names
The Smile Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD DWIGHT HOLLEY JR. DDS (PRESIDENT)
(480) 473-3111
Entity
Organization
Contact information
Practice address
20950 N TATUM BLVD, #350, PHOENIX, AZ 85050-4200
(480) 473-3111
(480) 473-3114
Mailing address
20950 N TATUM BLVD, #350, PHOENIX, AZ 85050-4200
(480) 473-3111
(480) 473-3114
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D4573
AZ
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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