Individual
ANDREA M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
18130 W 119TH ST, OLATHE, KS 66061-9532
(913) 828-2288
Mailing address
1429 E 25TH AVE, KANSAS CITY, MO 64116-3329
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61389
KS
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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