Individual
PHILLIP AUSTIN HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1195 W SAN RAMON AVE, FRESNO, CA 93711-3152
(559) 284-2304
Mailing address
1195 W SAN RAMON AVE, FRESNO, CA 93711-3152
(559) 284-2304
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
62411
CA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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