Individual
BRYAN G HARNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1704 GAGEL AVENUE, LOUISVILLE, KY 40216
(502) 448-7703
(502) 448-7703
Mailing address
1704 GAGEL AVENUE, LOUISVILLE, KY 40216
(502) 448-7703
(502) 448-7703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6907
KY
Other
Enumeration date
12/27/2006
Last updated
01/25/2017
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