Individual
DR. MONROE E HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5224 MONUMENT AVE, RICHMOND, VA 23226-1405
(804) 359-4474
(804) 359-4475
Mailing address
11545A NUCKOLS ROAD, GLEN ALLEN, VA 23059-5666
(804) 673-8061
(804) 673-5644
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401007107
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
0438000096
VA
Other
Enumeration date
03/30/2006
Last updated
08/02/2018
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