Individual
MR. BENJAMIN W HARRELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
540 WILLOWBROOK RD, COLUMBUS, MS 39705
(662) 327-4523
(662) 327-1391
Mailing address
540 WILLOWBROOK RD, COLUMBUS, MS 39705
(662) 327-4523
(662) 327-1391
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
325403
MS
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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