Individual
DR. ERIC HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
2792 S 5600 W STE 100, WEST VALLEY, UT 84120-5590
(801) 969-9669
Mailing address
2792 S 5600 W STE 100, WEST VALLEY, UT 84120-5590
(801) 635-7740
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00202242
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6013345-9921
UT
Other
Enumeration date
07/11/2014
Last updated
11/21/2018
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