Organization
HARRISS FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY K HARRISS (OWNER/PRESIDENT)
(865) 379-7004
Entity
Organization
Contact information
Practice address
712 MORGANTON SQUARE DR, MARYVILLE, TN 37801-4797
(865) 379-7004
Mailing address
712 MORGANTON SQUARE DR, MARYVILLE, TN 37801-4797
(865) 379-7004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7985
TN
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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