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Individual

DR. BRANDI BURGAN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
117 N GRAFTON ST, DUBLIN, TX 76446-1907
(254) 445-2442
Mailing address
117 N GRAFTON ST, DUBLIN, TX 76446-1907

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25447
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
217305601
TX
Enumeration date
06/10/2010
Last updated
10/19/2012
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