Individual
MRS. TERANI ROSE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, DT, ADT
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
11055-016
WI
124Q00000X
Dental Hygienist
H8920
MN
125K00000X
Advanced Practice Dental Therapist
Primary
DT69
MN
Other
Enumeration date
10/05/2011
Last updated
10/25/2018
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