Individual
DR. ANDREW HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4505 I-55 FRONTAGE RD. N, JACKSON, MS 39206
(601) 910-0878
Mailing address
4505 I-55 FRONTAGE RD. N, JACKSON, MS 39206
(601) 910-0878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4055-19
MS
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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