Mandy Lee Holley, DDS

NPI #1679785612 in Georgetown, Texas

Provider Information

NPI Number: 1679785612
Entity Type: Individual
Name: Mandy Lee Holley, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3613 WILLIAMS DR.
Address 2: SUITE 1001
City: Georgetown
State: Texas
ZIP Code: 78628
Phone: (512) 819-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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