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Individual
MR. JAMES KEITH HOMRIGHAUSEN
Active
Individual
MR. JAMES KEITH HOMRIGHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12010004
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7213
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
12010004
IN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
7213
KY
Other
Enumeration date
11/21/2005
Last updated
11/21/2014
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