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Individual

DR. MICHELLE R HOLMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
117H VILLAGE RD NE, LELAND, NC 28451-7413
(910) 371-5664
Mailing address
6211 TERRAPIN CT, WILMINGTON, NC 28409-2045
(910) 409-2307

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
150586
NC
122300000X
Dentist
Primary
8744
NC
1223G0001X
General Practice Dentistry
019-026310
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
566000329
OTHER
NC
Enumeration date
08/17/2006
Last updated
04/08/2011
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