Organization
BRETT HARRIS DMD DA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT HARRIS DMD (OWNER)
(970) 390-4124
Entity
Organization
Contact information
Practice address
226 NEWELL AVE APT 105, SAN ANTONIO, TX 78215-1611
(970) 390-4124
Mailing address
226 NEWELL AVE APT 105, SAN ANTONIO, TX 78215-1611
(970) 390-4124
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3640781
—
TX
Enumeration date
07/06/2021
Last updated
07/06/2021
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