Melanie Holden, Dmd, Pllc | |
255 Sw Main Blvd Lake City FL 32025-7050 | |
(386) 752-2480 | |
Not Available |
Full Name | Melanie Holden, Dmd, Pllc |
---|---|
Speciality | Dentist |
Location | 255 Sw Main Blvd, Lake City, Florida |
Authorized Official Name and Position | Melanie Holden (SOLE MBR) |
Authorized Official Contact | 3867522480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Melanie Holden, Dmd, Pllc 255 Sw Main Blvd Lake City FL 32025-7050 Ph: (386) 752-2480 | Melanie Holden, Dmd, Pllc 255 Sw Main Blvd Lake City FL 32025-7050 Ph: (386) 752-2480 |
NPI Number | 1205187143 |
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Provider Enumeration Date | 10/01/2012 |
Last Update Date | 10/01/2012 |
Identifier | Type | State | Issuer |
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1205187143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN19370 (Florida) | Primary |
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