| NPI | 1518093962 |
|---|---|
| Former Legal Business Name | CHARLES E. HARBISON DDS, PA |
| Entity Type | Organization |
| Authorized Contact | JOHN GEORGE KAKALES Dentist 662-943-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2018-12-13 |