Mark Lee Harris, DMD Valid NPI

Individual provider · General Practice Dentistry · Gap, PA

NPI

1164538252

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DS# 024108-L (PA)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-22

Last updated

2007-07-08