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1871881169
JED HARRIS
FOND DU LAC, WI
NPI
1871881169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 5749)
Enumeration Date
2011-07-20
Last Update Date
2011-07-20
Business Address
-- JED HARRIS DMD
834 W JOHNSON ST
FOND DU LAC, WI 54935-2018
Phone number: 920-929-7400
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Mailing Address
-- JED HARRIS DMD
281 SANDERS CREEK PKWY
EAST SYRACUSE, NY 13057-1307
Phone number: 315-454-6000
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