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Individual
DR. RYAN HOLMES
Active
Individual
DR. RYAN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
61915
CA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
061449
NY
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
D-4916-RD
ID
Other
Enumeration date
09/17/2012
Last updated
04/02/2021
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