Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 21751 | TX |
NPI | 1063600948 |
---|---|
Provider Name | Dr. Erik Kern Harrington |
First Address | Dallas, TX 75205-5617 |
Second Address | Dallas, TX 75205-5617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2007 |
Last Update Date | 16/11/2016 |