DR. Kelly Lynn Harris, D.M.D.

NPI #1104022276 in Venice, Florida

Provider Information

NPI Number: 1104022276
Entity Type: Individual
Name: DR. Kelly Lynn Harris, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jun 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 700 NOKOMIS AVE S
City: Venice
State: Florida
ZIP Code: 34285-3419
Phone: (941) 484-3551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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