Harris, David Glenn

Harris, David Glenn is an individual health care provider with primary practice located at 1100 Sonoma Ave Suite C-1, Santa Rosa CA 95405-8901. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Harris, David Glenn can be contacted via phone (707) 544-2811.

Contact Information

Primary practice address
1100 Sonoma Ave Suite C-1 Santa Rosa CA 95405-8901
Phone: (707) 544-2811
Fax: (707) 544-8671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X CA22807 California

Profile Details

NPI number 1275523987
LBN Legal business name Harris, David Glenn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 8th, 2007 - about 19 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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