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Organization
ETHAN HARRIS DMD, INC
Active
Organization
ETHAN HARRIS DMD, INC
Active
Other names
Rock 'N' Roll Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHAN HARRIS D.M.D. (OWNER/PRESIDENT)
(925) 557-7022
Entity
Organization
Contact information
Practice address
2301 CAMINO RAMON STE 294, SAN RAMON, CA 94583-4440
(925) 557-7022
Mailing address
2301 CAMINO RAMON STE 294, SAN RAMON, CA 94583-4440
(925) 557-7022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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