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Organization
W KELLY HARRIS
Active
Organization
W KELLY HARRIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE KELLY HARRIS DDS (DR.)
(336) 629-4137
Entity
Organization
Contact information
Practice address
307A FOUST ST, ASHEBORO, NC 27203-5405
(336) 625-4137
Mailing address
307A FOUST ST, ASHEBORO, NC 27203-5405
(336) 625-4137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5150
NC
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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