Individual
DR. PETER A HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12251 JAMES ST, SUITE 400, HOLLAND, MI 49424-9675
(616) 393-5694
(616) 393-5643
Mailing address
12251 JAMES ST, SUITE 400, HOLLAND, MI 49424-9675
(616) 393-5694
(616) 393-5643
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2901014030
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744805457
—
MI
Enumeration date
10/16/2006
Last updated
01/09/2012
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