Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 4603 | OK |
NPI | 1497860175 |
---|---|
Provider Name | Dennis W Harris |
First Address | Oklahoma City, OK 73139-9111 |
Second Address | Oklahoma City, OK 73139-9111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 08/07/2007 |