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1104915537
KENNETH THOMAS HARRISON
MORENO VALLEY, CA
NPI
1104915537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 25349)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- KENNETH THOMAS HARRISON D.D.S
12900 PERRIS BLVD STE 201
MORENO VALLEY, CA 92553-4135
Phone number: 951-242-6229
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Mailing Address
-- KENNETH THOMAS HARRISON D.D.S
12900 PERRIS BLVD STE 201
MORENO VALLEY, CA 92553-4135
Phone number: 951-242-6229
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