Individual
JACK HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
218 S MAPLE AVE STE 102, GREENSBURG, PA 15601-3200
(724) 204-1801
Mailing address
136 S PENNSYLVANIA AVE APT 302, GREENSBURG, PA 15601-3029
(806) 778-4341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044856
PA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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