Individual
DAMEIEN ORLANDO HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
719 N 25TH ST, RICHMOND, VA 23223-6539
(804) 780-0840
Mailing address
719 N 25TH ST, RICHMOND, VA 23223-6539
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402205599
VA
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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