Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 12013649A | IN |
NPI | 1699343608 |
---|---|
Provider Name | Dr. Elizabeth Rice Harmon |
First Address | Carmel, IN 46032-7681 |
Second Address | Carmel, IN 46032-5881 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2021 |
Last Update Date | 15/06/2021 |