Individual
DR. KHEALYNN FERNELIUS HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
202 CULLENS ST NW, YELM, WA 98597-9417
(801) 857-8001
Mailing address
202 CULLENS ST NW, YELM, WA 98597-9417
(801) 857-8001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60586603
WA
Other
Enumeration date
08/06/2015
Last updated
10/19/2015
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