Individual
TRISTEN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1123 E MAIN ST, MEDFORD, OR 97504-7498
(541) 773-3422
Mailing address
1123 E MAIN ST, MEDFORD, OR 97504-7498
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11826
OR
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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