Organization
JEFFREY C, HARVEY D.D.S., SC.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CLYDE HARVEY D.D.S. (OWNER)
(218) 236-1322
Entity
Organization
Contact information
Practice address
1550 30TH AVE S, MOORHEAD, MN 56560-5150
(218) 236-1322
(218) 236-0719
Mailing address
1550 30TH AVE S, MOORHEAD, MN 56560-5150
(218) 236-1322
(218) 236-0719
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D10196
MN
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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