Individual
KEVIN PAUL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, PC
Contact information
Practice address
3488 BRENTWOOD DR STE 103, BATON ROUGE, LA 70809-2015
(225) 930-4785
(225) 930-4785
Mailing address
3488 BRENTWOOD DR STE 103, BATON ROUGE, LA 70809-2015
(225) 930-4785
(225) 930-4785
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4833
LA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4833
LA
Other
Enumeration date
02/27/2007
Last updated
08/13/2023
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