Individual
DR. STEPHEN PAUL HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
781 ROZA DR, ZILLAH, WA 98953-9351
(509) 829-5466
(509) 829-5038
Mailing address
781 ROZA DR, ZILLAH, WA 98953-9351
(509) 829-5466
(509) 829-5038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005935
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5032552
—
WA
01
—
911993371 0001
ELECTRONIC ID NUMBER
WA
Enumeration date
07/17/2006
Last updated
07/09/2007
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