Individual
TIARA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 ALABAMA AVE., SE, DC 20023
(202) 299-5178
Mailing address
3709 JULEP DR, SOUTH CHESTERFIELD, VA 23834-5635
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414821
VA
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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