Individual
DR. PAUL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9339 E 21ST ST N, WICHITA, KS 67206-2971
(316) 630-9339
Mailing address
1429 E 25TH AVE, KANSAS CITY, MO 64116-3329
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61396
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61396
KANSAS DENTAL LICENSE NUMBER
KS
Enumeration date
05/31/2017
Last updated
05/31/2017
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