Individual
DR. HARVEY LANE HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20 ENTERPRISE ST, SUITE 1, RALEIGH, NC 27607-7375
(919) 828-3775
Mailing address
104 JUNIPER CREEK BLVD, PINEHURST, NC 28374-6806
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7986
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901114
—
NC
Enumeration date
01/17/2007
Last updated
07/23/2007
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