Individual
DAVID HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2510 CHICKASAW BLVD, ARDMORE, OK 73401-1341
(580) 226-8181
(580) 226-5471
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4190
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1304190
—
OK
Enumeration date
06/21/2007
Last updated
09/09/2011
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