Individual
DR. MICHAEL DAVID HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
INTERDENT, 2825 WEST DEVILS LAKE RD, LINCOLN CITY, OR 97367
(541) 994-3033
Mailing address
19800 SW TV TOWER RD, SHERIDAN, OR 97378-9649
(503) 580-1798
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8580
OR
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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