Individual
JOHN B HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MSC
Contact information
Practice address
545 4TH AVE S, ST PETERSBURG, FL 33701-4408
(727) 822-3156
(727) 822-3405
Mailing address
545 4TH AVE S, ST PETERSBURG, FL 33701-4408
(727) 822-3156
(727) 822-3405
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3770
FL
Other
Enumeration date
03/26/2007
Last updated
09/15/2010
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