Individual
AUSTIN WILBURN HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1927 23RD AVE, MERIDIAN, MS 39301-3108
(601) 693-0250
Mailing address
1927 23RD AVE, MERIDIAN, MS 39301-3108
(601) 693-0250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3860-16
MS
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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