Individual
ANTHONY D HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
818 NE MAIN ST, WEST UNION, OH 45693-1111
(937) 544-3239
(937) 544-7165
Mailing address
818 NE MAIN ST, WEST UNION, OH 45693-1111
(937) 544-3239
(937) 544-7165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21275
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2196832
—
OH
Enumeration date
09/14/2006
Last updated
07/09/2007
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