Individual
DR. BRENT LEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
61121 SOUTHGATE RD, CAMBRIDGE, OH 43725-8533
(740) 439-5335
Mailing address
61121 SOUTHGATE RD, CAMBRIDGE, OH 43725-8533
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17033
OH
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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