Individual
DR. MARKHAM JAY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2408 S MAIN ST, SUITE B, MARYVILLE, MO 64468-3624
(660) 582-8282
(660) 582-8210
Mailing address
2408 S MAIN ST, SUITE B, MARYVILLE, MO 64468-3624
(660) 582-8282
(660) 582-8210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2008002920
MO
1223G0001X
General Practice Dentistry
D3840
ID
Other
Enumeration date
03/28/2007
Last updated
02/12/2013
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