Harris, Mark Leroy

Harris, Mark Leroy is an individual health care provider with primary practice located at 1809 3Rd St , La Grande OR 97850-2244. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Harris, Mark Leroy can be contacted via phone (541) 963-0924.

Contact Information

Primary practice address
1809 3Rd St La Grande OR 97850-2244
Fax: (541) 962-0924
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6922 Oregon

Profile Details

NPI number 1184622797
LBN Legal business name Harris, Mark Leroy
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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