NPI | 1699214452 |
---|---|
Professional Name | KELLY HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN21128) |
Enumeration Date | 2017-02-13 |
Last Update Date | 2021-07-25 |