Individual
DR. JOHN KEVIN HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MSD
Contact information
Practice address
99 PARK GATE DR, TUPELO, MS 38801-3006
(662) 842-1735
(662) 842-1769
Mailing address
PO BOX 526, TUPELO, MS 38802-0526
(662) 842-1735
(662) 842-1769
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
OR29095
MS
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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