| Mark E Harris D D S Inc | |
|
5925 Brockton Ave Ste B Riverside CA 92506-7800 | |
| (951) 684-4988 | |
| (951) 684-4899 |
| Full Name | Mark E Harris D D S Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5925 Brockton Ave, Riverside, California |
| Authorized Official Name and Position | Mark E Harris (PRESIDENT) |
| Authorized Official Contact | 9516844988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E Harris D D S Inc 5925 Brockton Ave Ste B Riverside CA 92506-7800 Ph: (951) 684-4988 | Mark E Harris D D S Inc 5925 Brockton Ave Ste B Riverside CA 92506-7800 Ph: (951) 684-4988 |
| NPI Number | 1023462330 |
|---|---|
| Provider Enumeration Date | 04/22/2016 |
| Last Update Date | 04/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023462330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 51258 (California) | Primary |
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