NPI 1316604713
Mark Anthony Harris, DENTALASSISTANT
Practice location
- Address
- 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503
- Phone
- (315) 772-6217
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1316604713
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Nov 2021
- Record last updated
- 17 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.