Individual
DR. GLENN R HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
207 UPPER MAIN ST, EDGARTOWN, MA 02539-5927
(508) 939-9000
Mailing address
42 EVELYN CIR, CENTERVILLE, MA 02632-3438
(508) 737-2880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14867
MA
Other
Enumeration date
03/22/2007
Last updated
08/25/2023
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