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Individual

DR. KENNETH MICHAEL HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-2801
Mailing address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-2801

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0401008494
VA

Other

Enumeration date
01/26/2006
Last updated
07/08/2007
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