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DR. ROBERT LEWIS HOLMES DMD, MS

Periodontics >> Dentist >> Dental Providers

Registrant NPI Number: 1972593747

Individual Registrant:
DR. ROBERT LEWIS HOLMES DMD, MS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1060 GAFFNEY RD #7500 US ARMY DENTAL ACTIVITY, ATTN: CREDENTIALS COORDINATOR FORT WAINWRIGHT, AK 99703 US
Tel: 907-361-5530  Fax: --

Contact information for business:
1060 GAFFNEY RD STOP 7500 US ARMY DENTAL ACTIVITY, ATTN: CREDENTIALS FORT WAINWRIGHT, AK 99703-5007 US
Tel: 907-361-5530  Fax: --

Registration Information:
NPI: 1972593747
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0300XDental Providers
Dentist
Periodontics
NY051654

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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