Individual
BRAD L. HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1355 N UNIVERSITY AVE, STE. #150, PROVO, UT 84604-2721
(801) 375-3910
(801) 375-4001
Mailing address
1355 N UNIVERSITY AVE, STE. #150, PROVO, UT 84604-2721
(801) 375-3910
(801) 375-4001
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
145724-9922
UT
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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