Individual
DR. JESSE BLUFORD HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
9102 RUTLAND GREENS WAY, A, MECHANICSVILLE, VA 23116
(804) 559-3636
(804) 789-8426
Mailing address
9102 RUTLAND GREENS WAY, A, MECHANICSVILLE, VA 23116
(804) 559-3636
(804) 789-8426
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401411059
VA
1223E0200X
Endodontics
1223
AK
Other
Enumeration date
10/04/2006
Last updated
10/08/2012
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