NPI | 1124895354 |
---|---|
Former Legal Business Name | ROBERT L. HOLLOWELL, III, DDS, MSD, TRIANGLE PEDIATRIC DENTISTRY |
Doing Business As | TRIANGLE PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | AMENA HOLLEY Credentialing Specialist 248-550-5440 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2023-12-07 |
Last Update Date | 2023-12-12 |