Mark Harris, D.m.d., P.c.

NPI #1396043600 in La Grande, Oregon

Provider Information

NPI Number: 1396043600
Entity Type: Organization
Organization Name: Mark Harris, D.m.d., P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 10, 2011
Last Updated: Mar 10, 2011

Practice Location

Address: 1809 3RD ST
City: La Grande
State: Oregon
ZIP Code: 97850-2244
Phone: (541) 963-0924

Authorized Official

Name: MARK HARRIS, D.M.D.
Title: DENTIST
Phone: (541) 963-0924

Specialties & Taxonomy Codes

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

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