| NPI | 1629561501 | 
|---|---|
| Doing Business As | HOLLYMEAD DENTAL ARTS | 
| Entity Type | Organization | 
| Authorized Contact | DESIREE AREZOO BAGHERI Co Owner 434-242-6707  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2018-06-14 | 
| Last Update Date | 2018-06-14 |