Herbert Randall Harrison, DDS Valid NPI
Individual provider · Dentist · Berkeley, CA
- NPI
- 1306040613
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D21894 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-06-12
- Last updated
- 2014-09-15
Practice location
2522 Dana St, Ste 105
Berkeley, CA 94704
(510) 666-0737