Individual
KIMBER LEE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3602 VISTA RD, PASADENA, TX 77504-1942
(713) 946-5171
(713) 946-0047
Mailing address
3602 VISTA RD, PASADENA, TX 77504-1942
(713) 946-5171
(713) 946-0047
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16906
TX
1223G0001X
General Practice Dentistry
16910
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
760519739
FEDERAL TAX ID
—
Enumeration date
08/30/2006
Last updated
03/23/2023
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