Organization
WILLARD FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN KEITH HARRIS DMD (OWNER)
(702) 580-4285
Entity
Organization
Contact information
Practice address
304 E JACKSON ST, WILLARD, MO 65781-9333
(417) 742-2555
Mailing address
1713 REGENCY LN, NIXA, MO 65714-7490
(702) 580-4285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/27/2022
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