Individual
JUSTIN LANE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2431 W MAIN ST STE 601, DOTHAN, AL 36301-1270
(336) 793-3651
Mailing address
2431 W MAIN ST STE 601, DOTHAN, AL 36301-1270
(801) 529-8055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6526
AL
Other
Enumeration date
06/23/2018
Last updated
06/23/2018
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