GAYLAN CHRIS HOLDAWAY

MERIDIAN, ID
NPI1528293255
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4798)
Additional Taxonomies122300000X Dentist
(Licence: NC  8766)
Enumeration Date2009-05-26
Last Update Date2020-07-29
Business Address
Dr. GAYLAN CHRIS HOLDAWAY DDS
3325 N TEN MILE RD # 140
MERIDIAN, ID 83646-5409
Phone number: 208-228-5499
Mailing Address
Dr. GAYLAN CHRIS HOLDAWAY DDS
3325 N TEN MILE RD STE 140
MERIDIAN, ID 83646-6951
Phone number: 336-509-0278
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