Individual
DR. LAURA HARNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-6100
Mailing address
19886 MASON ST, CASSOPOLIS, MI 49031-9534
(574) 215-5509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021757
MI
122300000X
Dentist
319019420
IL
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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