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Organization
HARRISON DENTAL GROUP II, LLC
Active
Organization
HARRISON DENTAL GROUP II, LLC
Active
Other names
Harrison Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH HARRISON DDS (OWNER)
(260) 747-4747
Entity
Organization
Contact information
Practice address
1333 GETZ RD, FORT WAYNE, IN 46804
(260) 747-4747
Mailing address
7918 INVERNESS LAKES TRL, FORT WAYNE, IN 46804-3842
(260) 450-7336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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