Individual
ANDREW HARSANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2945 THE VILLAGES PKWY, SAN JOSE, CA 95135-1451
(408) 270-9450
(408) 270-9454
Mailing address
2945 THE VILLAGES PKWY, SAN JOSE, CA 95135-1451
(408) 270-9450
(408) 270-9454
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19432
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427182179
CORPORATION
CA
Enumeration date
06/25/2015
Last updated
06/25/2015
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