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Kylie Larue Holliday
General Practice Dentistry in Dallas, Texas
NPI 1497443980

Kylie Larue Holliday is a General Practice Dentistry based in Dallas, TX and is specialized in General Practice. Kylie Larue Holliday practices in Dallas, TX. The NPI Number for Kylie Larue Holliday is 1497443980 and holds a License No. (Texas).

The current practice location address for Kylie Larue Holliday is 8222 Bruton Rd, Dallas, TX and can be reached out via phone at 214-398-1234.

Location: 8222 Bruton Rd, Dallas, TX, 75204-0360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497443980
Provider Name
Kylie Larue Holliday
Credential
Provider Entity Type
Individual
Gender
Female
Address
8222 Bruton Rd, Dallas, TX, 75204-0360
Phone Number
214-398-1234
Fax Number
Provider Enumeration Date
04/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8222 Bruton Rd
City
Dallas
State
Texas
Zip
75217-1902
Phone Number
214-398-1234
Fax Number
person
Provider Business Mailing Address Details
Address
8222 Bruton Rd
City
Dallas
State
Texas
Zip
75217-1902
Phone Number
214-398-1234
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
39765 (Texas)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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