Organization
BRUCE A. HARRIS, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ALAN HARRIS D.D.S. (OWNER/DENTIST)
(641) 342-6541
Entity
Organization
Contact information
Practice address
148 W JEFFERSON ST, OSCEOLA, IA 50213-1286
(641) 342-6541
(641) 342-6542
Mailing address
148 W JEFFERSON ST, OSCEOLA, IA 50213-1286
(641) 342-6541
(641) 342-6542
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
06275
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149104
—
IA
Enumeration date
05/22/2008
Last updated
05/22/2008
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