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Individual

JOHN BENNETT HARLLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
33 SE OSCEOLA ST, STUART, FL 34994-2125
(772) 287-1671
(772) 287-1673
Mailing address
33 SE OSCEOLA ST, STUART, FL 34994-2125
(772) 287-1671
(772) 287-1673

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10299
FL

Other

Enumeration date
08/18/2006
Last updated
07/08/2007
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