Individual
DR. DAVID GLENN HARRIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1100 SONOMA AVE, SUITE C-1, SANTA ROSA, CA 95405-8901
(707) 544-2811
(707) 544-8671
Mailing address
1100 SONOMA AVE, SUITE C-1, SANTA ROSA, CA 95405-8901
(707) 544-2811
(707) 544-8671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CA22807
CA
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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