Individual
RANDALL D. HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1527 ROUTE 12, GALES FERRY, CT 06335-1800
(860) 464-7204
(860) 464-0186
Mailing address
1527 ROUTE 12, P.O. BOX 396, GALES FERRY, CT 06335-1800
(860) 464-7204
(860) 464-0186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
004814
CT
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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