Individual
DALLIN BRYAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
811 SW 19TH ST STE A, MOORE, OK 73160-2890
(405) 703-5161
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7285
OK
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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