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Individual
MARC ALLEN HARRISON
Active
Individual
MARC ALLEN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
10160807-9923
UT
1223P0221X
Pediatric Dentistry
Primary
2015015174
MO
Other
Enumeration date
06/03/2015
Last updated
08/30/2019
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