Individual
DR. MATTHEW L HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4902 S 1900 W, ROY, UT 84067-2993
(801) 773-1237
Mailing address
4902 S 1900 W, ROY, UT 84067-2993
(801) 773-1237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412514
VA
Other
Enumeration date
11/10/2009
Last updated
06/30/2010
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