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Kenneth Harrison, D.D.S

NPI 1104915537 · on the registry since 2006 · sole proprietor

Practice

Address: 12900 Perris Blvd
Ste 201
Moreno Valley, CA 92553
Phone: (951) 242-6229
Fax: (951) 242-0860
Organisation at this address: Mervin L. Ellstrom Dds, Inc
Mohammad Abul Fielat Dds Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California