Individual
DR. LAURAL LEE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
124 WEDGEWOOD DR, COLUMBIA, IL 62236-1053
(563) 676-3735
Mailing address
1304 N WESTMORELAND RD, DESOTO, TX 75115-2806
(563) 676-3735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.024472
IL
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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