Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 50062 | CA |
NPI | 1053492355 |
---|---|
Provider Name | Dr. Andrew T. Harner |
First Address | Huntington Beach, CA 92648-1706 |
Second Address | Huntington Beach, CA 92648-1706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 06/06/2008 |