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Individual

DR. STUART RANDOLPH HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
200 WEST HOSPITAL DR, WHITERIVER, AZ 85941
(928) 338-3615
(928) 338-3522
Mailing address
200 WEST HOSPITAL DR., WHITERIVER, AZ 85941
(928) 338-3615
(928) 338-3522

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4118
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
481094
AZ
Enumeration date
09/20/2006
Last updated
07/08/2007
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