Individual
MARC ALLEN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2025 W 200 N STE 1, KAYSVILLE, UT 84037-4300
(801) 544-3323
Mailing address
1453 W 425 S, LAYTON, UT 84041-3697
(801) 520-5204
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
10160807-9923
UT
1223P0221X
Pediatric Dentistry
Primary
2015015174
MO
Other
Enumeration date
06/03/2015
Last updated
08/30/2019
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