Individual
JASON LAMONT HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 TROY SCHENECTADY RD, LATHAM, NY 12110-1068
(518) 785-3084
Mailing address
1201 TROY SCHENECTADY RD, LATHAM, NY 12110-1068
(518) 785-3084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055078
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03245172
—
NY
Enumeration date
07/30/2010
Last updated
01/26/2012
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