Organization
MOUNTAIN PERIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ROBERT HARRELL DDS (OWNER)
(828) 693-7533
Entity
Organization
Contact information
Practice address
200 BEVERLY HANKS CTR, SUITE B, HENDERSONVILLE, NC 28792-2301
(828) 693-7533
(828) 693-5494
Mailing address
200 BEVERLY HANKS CTR, SUITE B, HENDERSONVILLE, NC 28792-2301
(828) 693-7533
(828) 693-5494
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4809
NC
Other
Enumeration date
05/23/2007
Last updated
10/04/2019
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