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JAMES ROGER HARRISON D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1033310313

Individual Registrant:
 JAMES ROGER HARRISON D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
45390 GREEN AVE.  CALLAHAN, FL 32011 US
Tel: 904-879-1893  Fax: 904-879-6448

Contact information for business:
45390 GREEN AVE.  CALLAHAN, FL 32011 US
Tel: 904-879-1893  Fax: 904-879-6448

Registration Information:
NPI: 1033310313
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FLDN5945

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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