MELANIE HOLDEN, DMD, PLLC
Dentist at Main Blvd, Lake City, FL

License number
Florida DN19370
Category
Dentist
Type
Dentist
Owner
Name: MELANIE HOLDEN DMD
Title: SOLE MBR
Phone: (386) 752-2480
Address
Address
255 SW Main Blvd, Lake City, FL 32025
National Provider ID: 1205187143
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MELANIE HOLDEN, DMD, PLLC

255 SW Main Blvd, Lake City, FL 32025

Industry:
Dentist's Office
Registration:
Sep 14, 2012
State ID:
L12000118116
Business type:
Florida Limited Liability Company
Managing Member:
Melanie Dmd Holden (Managing Member), 255 SW Main Blvd, Lake City, FL 32025 (Physical)
Agent:
Eric Sauerberg,200 Vlg Sq Xing, Palm Beach Gardens, FL 33410 (Physical)
EIN:
46-1051187

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