Harrison Dental Associates
Clinic/Center, Dental in Panama City, FL. Organization (NPI-2).
NPI number1164095675
StatusActive
Last updated in NPPESJul 22, 2021
Details
- NPI
- 1164095675
- Entity type
- Organization (NPI-2)
- Legal business name
- Harrison Dental Associates
- Organization subpart
- No
- Enumeration date
- Jul 22, 2021
- Certification date
- Jul 22, 2021
- Last updated
- Jul 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
1012 W 11th StPanama City, FL 32401-2042
Phone 850-763-6782 · Fax 850-763-1401
Mailing address
1012 W 11th StPanama City, FL 32401-2042
Phone 850-763-6782 · Fax 850-763-1401
Authorized official
Benjamin Rex Harrison
President
8507636782
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All 6 Dental Clinic/Center providers in Panama City · All 3,478 providers in Panama City
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