Individual
MARK MITCHELL HARSHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2121 NORTH AVE, 160, GRAND JUNCTION, CO 81501-6428
(970) 242-0731
Mailing address
2695 CARIBBEAN DR, GRAND JUNCTION, CO 81506-1759
(970) 254-8759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104427
CO
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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