Individual
DR. STEVEN DALE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS, PC
Contact information
Practice address
507 E 10TH ST, ROLLA, MO 65401-3302
(573) 364-0700
Mailing address
507 E 10TH ST, ROLLA, MO 65401-3302
(573) 364-0700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14266
MO
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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