Organization
HARRIS FAMILY DENTAL, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER HARRIS DDS (PRESIDENT)
(414) 771-1228
Entity
Organization
Contact information
Practice address
2600 N MAYFAIR RD, STE 690, WAUWATOSA, WI 53226-1309
(414) 771-1228
(414) 476-2515
Mailing address
2600 N MAYFAIR RD, STE 690, WAUWATOSA, WI 53226-1309
(414) 771-1228
(414) 476-2515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6238
WI
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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