Individual
CRAIG HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10 COMMUNITY PLZ, SULLIVAN, MO 63080-1567
(573) 860-2552
(573) 860-4553
Mailing address
10 COMMUNITY PLZ, SULLIVAN, MO 63080-1567
(573) 860-2552
(573) 860-4553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2003031702
MO
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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