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Individual

DR. SPENCER FREDERICK HOLMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
3286 PENTAGON PARK BLVD, BEAVERCREEK, OH 45431
(423) 802-1381
Mailing address
15 LONSDALE AVE, OAKWOOD, OH 45419-3143
(423) 802-1381

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901022535
MI
122300000X
Dentist
DL13207
MA
1223E0200X
Endodontics
29417
TX
1223E0200X
Endodontics
Primary
30.026809
OH

Other

Enumeration date
08/16/2013
Last updated
05/18/2023
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