Individual
DR. SHANALYN MARAE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
433 BROAD ST, COLUMBIA, MS 39429-3038
(601) 736-3286
(601) 736-3939
Mailing address
433 BROAD ST, COLUMBIA, MS 39429-3038
(601) 736-3286
(601) 736-3939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3113-99
MS
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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