Individual
NATHANAEL CURTIS HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4622
Mailing address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9055223-9922
UT
Other
Enumeration date
06/17/2014
Last updated
07/18/2014
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