Individual
DR. AMANDA L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2900 RING RD, ELIZABETHTOWN, KY 42701-7934
(207) 737-6453
(207) 737-0801
Mailing address
2900 RING RD, ELIZABETHTOWN, KY 42701-7934
(207) 737-6453
(207) 737-0801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9299
KY
1223G0001X
General Practice Dentistry
9299
KY
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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