Harbor Dental

NPI #1992712061 in Benton Harbor, Michigan

Provider Information

NPI Number: 1992712061
Entity Type: Organization
Organization Name: Harbor Dental
Primary Specialty: Dentist
Enumeration Date: Aug 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 143 E MAIN
City: Benton Harbor
State: Michigan
ZIP Code: 49022
Phone: (269) 927-1313

Authorized Official

Name: GLENDA J POTTS, RDA CDA
Title: OFFICE MANAGER
Phone: (269) 927-1313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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