Individual
DR. ALEXANDER HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11501 S 4000 W STE 101, SOUTH JORDAN, UT 84009-6028
(801) 701-2120
Mailing address
14728 S NOB LN, BLUFFDALE, UT 84065-1239
(801) 709-4113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11313918-9921
UT
1223G0001X
General Practice Dentistry
Primary
11313918-9921
UT
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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