Individual
DR. JESSICA R HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
16708 JEFFERSON DAVIS HWY STE 115, DUMFRIES, VA 22026-2770
(703) 221-4040
Mailing address
12413 OLD YATES FORD RD, CLIFTON, VA 20124-2023
(717) 385-6755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS038472
PA
1223G0001X
General Practice Dentistry
3898
WV
1223P0221X
Pediatric Dentistry
Primary
0401413200
VA
Other
Enumeration date
08/11/2010
Last updated
10/06/2020
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