Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH THOMAS HARRISON, D.D.S
Active Sole ProprietorKENNETH THOMAS HARRISON, D.D.S is a Orthodontics healthcare provider located in MORENO VALLEY, California. NPI 1104915537 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · MORENO VALLEY, CA
Registration Details
- NPI Number
- 1104915537
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2006 (19.870243751012 yrs)
- Last Updated
- Jul 8, 2007
- License
-
25349 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12900 PERRIS BLVDSTE 201MORENO VALLEY, CA, 925534135Browse CA providers · Browse ZIP 92553
- Phone
- 9512426229
- Fax
- 9512420860
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in MORENO VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| R. DAVID RYNEARSON | DDS, MS | 1629358429 |
| DR. MICHAEL LEE | DMD | 1538696935 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.