Individual
DR. DOUG EARL HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
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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