Individual
DR. JOHN L HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20171 ICENIC TRL, LAKEVILLE, MN 55044-7708
(952) 469-3300
Mailing address
20171 ICENIC TRL, LAKEVILLE, MN 55044-7708
(952) 469-3300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7809
MN
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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