Individual
RALPH E HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(336) 768-1740
(336) 768-1778
Mailing address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(336) 768-1740
(336) 768-1778
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4001
NC
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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