Jordan Harold Harris D.D.S.

NPI 1093717308 - Dentist - 1223G0001X

NPI Details
NPI 1093717308
Gender Male
Enumeration Date 06/01/2005
Last Updated 06/03/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
5401 6TH AVE
SUITE 201
TACOMA WA, 98406-2617, US
Phone (253) 761-2540
Fax (253) 761-2732
Business Location
6950 NE CAMPUS WAY
HILLSBORO OR, 97124-5611, US
Phone (503) 952-2125
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Washington
License Number DE7287
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According to our database, Dr. Jordan Harold Harris D.D.S. NPI is 1093717308, taxonomy code is 1223G0001X and license number is DE7287, license state is located at Washington. Jordan Harold Harris D.D.S. physically located at 5401 6th Ave, Tacoma WA, 98406-2617. NPI Number Jordan Harold Harris D.D.S. has the Individual type.

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1093717308 NPI number is provided on an as is basis without warranty of any kind. 1093717308 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan Harold Harris D.D.S. are for informational purposes only.