Organization
THREE LAKES DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC S HARRIS DMD (OWNER, DENTIST)
(334) 252-9000
Entity
Organization
Contact information
Practice address
1619 GILMER AVE, TALLASSEE, AL 36078-2313
(334) 252-9000
(334) 252-9003
Mailing address
1619 GILMER AVE, TALLASSEE, AL 36078-2313
(334) 252-9000
(334) 252-9003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5796
AL
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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