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Individual
MITCHELL T HARBOLT
Active
Individual
MITCHELL T HARBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11664
OR
Other
Enumeration date
08/06/2022
Last updated
11/13/2023
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