Individual
GRAHAM ASHTON HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2095 W VISTA WAY STE 218, VISTA, CA 92083-6029
(760) 436-6365
(760) 436-5123
Mailing address
2095 W VISTA WAY STE 218, VISTA, CA 92083-6029
(760) 436-6365
(760) 436-5123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS102908
CA
1223X2210X
Orofacial Pain Dentistry
Primary
DDS102908
CA
1223X2210X
Orofacial Pain Dentistry
R862
MN
125Q00000X
Oral Medicine Dentistry
DDS102908
CA
332BC3200X
Customized Equipment (DME)
DDS104403
CA
Other
Enumeration date
08/16/2018
Last updated
05/15/2026
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