Individual
DR. JERRY D HARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5816 HWY 54, SUITE 107, OSAGE BEACH, MO 65065
(573) 348-3127
(573) 348-1910
Mailing address
802 STEWART ROAD, COLUMBIA, MO 65203
(573) 875-4143
(573) 449-9200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
010099
MO
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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