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
Phone: (541) 963-0924
Fax: (541) 962-0924
Website:
Health care specialties
Specialty | Code | License # | 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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