Organization
JEFFREY C, HARVEY D.D.S., SC.D., P.A.
Active
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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