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Organization
RANDALL D HARRIS DDS PC
Active
Organization
RANDALL D HARRIS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL D HARRIS DDS (DENTIST PRESIDENT)
(860) 464-7204
Entity
Organization
Contact information
Practice address
1527 ROUTE 12, GALES FERRY, CT 06335-0396
(860) 464-7204
(860) 464-0186
Mailing address
PO BOX 396, GALES FERRY, CT 06335-0396
(860) 464-7204
(860) 464-0186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
10/27/2006
Last updated
07/01/2015
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