NPI | 1043826944 |
---|---|
Doing Business As | MATTHEW B HARRISON DDS PA |
Entity Type | Organization |
Authorized Contact | MARY A WYATT COO 501-940-8147 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-09-17 |
Last Update Date | 2020-09-17 |