Individual
MARK ANTHONY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTAL ASSISTANT
Contact information
Practice address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(315) 772-6217
Mailing address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(315) 772-6217
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
06/17/2022
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