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Contact Information

KAYCI M HARRIS, DMD
1102 STATE HIGHWAY 68
EMBUDO, NM87531
 Phone: 505-579-4680
 Fax: 505-579-4074
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KAYCI M HARRIS · (Female)

NPI # 1316460009
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/25/2017
Last updated 07/25/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NM License # DD4761
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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