DR. Daryl Grant Holdredge, DDS

NPI #1619991916 in Green Bay, Wisconsin

Provider Information

NPI Number
1619991916
Entity Type
Individual
Name
DR. Daryl Grant Holdredge, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1231 S WEBSTER AVE
ZIP Code
54301-3007
Phone
(920) 437-7188

Specialties & Taxonomy Codes

Specialty
Dentist

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