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Individual

DR. KELLY UYEN HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD, MS

Contact information

Practice address
4413 LEMONGRASS DR, FORT MYERS, FL 33916-8176
(714) 417-1713
Mailing address
4413 LEMONGRASS DR, FORT MYERS, FL 33916-8176
(714) 417-1713

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN21128
FL

Other

Enumeration date
02/13/2017
Last updated
07/25/2021
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