Individual
BRIAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3400 SPRUCE ST, 5 WHITE BLDG., DEPT OF ORAL AND MAXILLOFACIAL SURGERY, PHILADELPHIA, PA 19104-4206
(215) 662-3580
Mailing address
304 HERMITAGE ST, PHILADELPHIA, PA 19128-4604
(215) 482-1818
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS035063
PA
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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