Individual
DR. MICHAEL B HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10555 CRESTWOOD DR, MANASSAS, VA 20109-4412
(703) 385-6688
Mailing address
11226 BEACH MILL RD, GREAT FALLS, VA 22066-3024
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401006032
VA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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