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Individual

DR. DOUG EARL HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
2650 E. PINON FRONTAGE RD., BLDG #200, FARMINGTON, NM 87402-5061
(505) 599-9359
(505) 599-8177
Mailing address
2650 E. PINON FRONTAGE RD., BLDG #200, FARMINGTON, NM 87402-5061
(505) 599-9359
(505) 599-8177

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DD1925
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000R9148
NM
Enumeration date
03/25/2006
Last updated
11/26/2014
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