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Individual
DANIEL BRIAN HARRIS
Active
Individual
DANIEL BRIAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5570
LA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5570
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
5570
LA
Other
Enumeration date
08/29/2005
Last updated
10/18/2018
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