NPI 1376311357

Patrice Renae Holliday

Practitioner Dental Assistant Detroit, MI

Practice location

Address: 15874 Robson St, Detroit, MI 48227-2643
Phone: (313) 622-2119

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 2903003575 (MI)

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Registry record

NPI: 1376311357
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Dec 2023
Record last updated: 19 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.