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Bryce Edward Harris

Dental Assistant in Fort Irwin, CA. Individual provider (NPI-1).

NPI number1366038952
StatusActive
Last updated in NPPESDec 17, 2020

Details

NPI
1366038952
Entity type
Individual (NPI-1)
Name
Bryce Edward Harris
Sex
Male
Sole proprietor
No
Enumeration date
Dec 17, 2020
Certification date
Dec 15, 2020
Last updated
Dec 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
126800000X Dental Assistant––Yes

Practice location

4th And Inner Loop Road
Bldg 171
Fort Irwin, CA 92310

Phone 719-526-5537

Mailing address

4th And Inner Loop Road
Bldg 171
Fort Irwin, CA 92310

Phone 719-526-5537

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