Individual
BRETT HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
101 FAWCETT RD, STE 170, AVON, CO 81620
(970) 949-7911
Mailing address
101 FAWCETT RD, STE 170, AVON, CO 81620
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
36102
TX
1223G0001X
General Practice Dentistry
00202386
CO
Other
Enumeration date
11/10/2014
Last updated
06/02/2020
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