Individual
MARION HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1000
Mailing address
3830 N MULBERRY DR, APT 4308, KANSAS CITY, MO 64116-2734
(214) 449-7727
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2015021487
MO
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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