Ryan Keith Harris, DMD

NPI #1740617992 in Bolivar, Missouri

Provider Information

NPI Number: 1740617992
Entity Type: Individual
Name: Ryan Keith Harris, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 2, 2013
Last Updated: Apr 21, 2022

Practice Location

Address: 121 N MAIN AVE
City: Bolivar
State: Missouri
ZIP Code: 65613-1517
Phone: (417) 422-4540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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