Individual
MR. MARK JAY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
392 DEER PARK AVE, BABYLON, NY 11702-2314
(631) 669-1077
(631) 669-1136
Mailing address
392 DEER PARK AVE, BABYLON, NY 11702-2314
(631) 669-1077
(631) 669-1136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040305-1
NY
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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