Jeffrey Justin Harris, DDS Valid NPI
Individual provider · Dentist · O Fallon, MO
- NPI
- 1932336799
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 2009014633 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-06-18
- Last updated
- 2009-06-18
Practice location
1630 Market Center Dr, Suite 100
O Fallon, MO 63368-8407
(636) 300-4380