Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 44689 | CA |
NPI | 1023117686 |
---|---|
Provider Name | Dr. Amybeth Harmon |
First Address | Pleasant Hill, CA 94523-2036 |
Second Address | Pleasant Hill, CA 94523-2036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 08/07/2007 |