Individual
TESSA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 E 31ST AVE, SPOKANE, WA 99203-3101
(360) 904-2658
Mailing address
611 E 31ST AVE, SPOKANE, WA 99203-3101
(509) 315-8500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60970889
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2019
Last updated
02/02/2022
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