Individual
HARRISON J. KLERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2441 21ST ST, FORT CAMPBELL, KY 42223-5582
(270) 798-8751
Mailing address
1700 GOLDBERG STREET, FORT LIBERTY, NC 28307
(910) 907-9001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS11580
TN
Other
Enumeration date
06/30/2021
Last updated
11/22/2023
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