Organization · Type 2 NPI
Holliday Orthodontics
Dental Clinic/Center · Eastanollee, GA
NPI number
1407089055
Active
Practice location
11 Business Center Dr, Suite 105
Eastanollee, GA 30538-3254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN013947 (GA) |
| Dental Clinic/Center | 261QD0000X | 4621 (SC) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1407089055
Holliday Orthodontics's National Provider Identifier is 1407089055, issued on Aug 31, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Eastanollee, GA. The record was last updated on Dec 11, 2009.