Individual
DR. MARY THERESA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1500 CARLEMONT DR, CRYSTAL LAKE, IL 60014-1833
(815) 477-2273
Mailing address
101 S HALE ST, PALATINE, IL 60067-6211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031314
IL
Other
Enumeration date
08/01/2017
Last updated
12/28/2020
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