# MARC ALLEN HARRISON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508246711
- **Gender:** Man
- **Credential:** D.M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 10160807-9923 | UT | — |
| 1223P0221X | Pediatric Dentistry | 2015015174 | MO | Yes |

## Other

- **Enumeration date:** 06/03/2015
- **Last updated:** 08/30/2019
