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1336211010
W. SHANE HOLMES
CHARLESTON, WV
NPI
1336211010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: WV 3383)
Enumeration Date
2006-11-15
Last Update Date
2007-07-09
Business Address
DR. W. SHANE HOLMES DDS,MDS
867 OAKWOOD RD
CHARLESTON, WV 25314-2057
Phone number: 304-343-3672
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Mailing Address
DR. W. SHANE HOLMES DDS,MDS
867 OAKWOOD RD
CHARLESTON, WV 25314-2057
Phone number: 304-343-3672
Copy
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