Individual
DR. DOUGLAS R HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3610 2ND AVE, KEARNEY, NE 68847
(308) 237-1311
(308) 237-1320
Mailing address
3610 2ND AVE, KEARNEY, NE 68847
(308) 237-1311
(308) 237-1320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5470
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42117631400
—
NE
Enumeration date
09/07/2006
Last updated
07/08/2007
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