Individual
KELLY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9110 W TROPICANA AVE UNIT 393, LAS VEGAS, NV 89147-8764
(650) 878-7219
Mailing address
1700 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7276
NV
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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