Individual
DR. CHADWICK J. HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
701 N 16TH AVE, LAUREL, MS 39440-3348
(601) 649-3344
(601) 649-3346
Mailing address
15 HUCKABEE LN, LAUREL, MS 39443-7508
(601) 426-6864
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2943-96
MS
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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