Individual
DENA AMERINE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4900 ROGERS AVE STE 103A, FORT SMITH, AR 72903-2068
(479) 452-8200
(479) 452-6779
Mailing address
4900 ROGERS AVE STE 103A, FORT SMITH, AR 72903-2068
(479) 452-8200
(479) 452-6779
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2339
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102252722
—
AR
Enumeration date
01/10/2006
Last updated
04/14/2011
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