| NPI | 1184134751 |
|---|---|
| Doing Business As | HARRISBURG DENTAL |
| Entity Type | Organization |
| Authorized Contact | LISA KAY TRAVIS Business Manager 704-575-5409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |