# CHAVALA M. HARRIS, DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205694072
- **Authorized official:** DR. CHAVALA MELITA HARRIS DDS (OWNER)
- **Authorized official phone:** (336) 671-2312

## Contact information

- **Practice address:** 103 GANYARD FARM WAY, DURHAM, NC 27703-6230
- **Practice address phone:** (919) 957-2444
- **Mailing address:** 1445 SPRINGVALE HILL DR, KERNERSVILLE, NC 27284-4095
- **Mailing address phone:** (336) 671-2312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2024
- **Last updated:** 03/07/2024