Individual
TORI LYNN HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2111 330TH AVE, FORT MADISON, IA 52627-9783
(543) 231-9372
Mailing address
1337 E 900 N, CRAWFORDSVILLE, IN 47933-7320
(765) 376-4915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-09608
IA
1223G0001X
General Practice Dentistry
12012928A
IN
Other
Enumeration date
06/30/2018
Last updated
03/02/2020
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