Individual
DR. JASON ROBERT HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4106 WAKE FOREST RD, RALEIGH, NC 27609-6398
(919) 658-9555
Mailing address
4106 WAKE FOREST RD, RALEIGH, NC 27609-6398
(919) 658-9555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9744
NC
Other
Enumeration date
05/30/2014
Last updated
05/30/2014
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