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Individual

DR. JARED TIMOTHY HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9420 WATSON RD, SAINT LOUIS, MO 63126-1529
(314) 843-0500
Mailing address
13021 E 21ST AVE APT C533, AURORA, CO 80045-7454
(970) 433-6454

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2025018247
MO

Other

Enumeration date
05/28/2025
Last updated
05/28/2025
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