Individual
LACEY MICHELLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
430 MEYER ST, SEALY, TX 77474-2744
(979) 885-4856
Mailing address
430 MEYER ST, SEALY, TX 77474-2744
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30729
TX
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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