Individual
DR. DANIEL WADE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
206 3RD ST, AYDEN, NC 28513-2234
(252) 746-2161
(252) 746-7412
Mailing address
PO BOX 487, 206 THIRD STREET, AYDEN, NC 28513-0487
(252) 746-2161
(252) 746-7412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3928
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993634
—
NC
Enumeration date
11/30/2006
Last updated
07/09/2007
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