Individual
BEVERLY HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 W CARMEL DR, STE 215, CARMEL, IN 46032-5878
(317) 249-1001
(317) 249-1003
Mailing address
755 W CARMEL DR, STE 215, CARMEL, IN 46032-5878
(317) 249-1001
(317) 249-1003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009566A
IN
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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