Individual provider · Type 1 NPI

Kenneth Thomas Harrison, D.D.S

Orthodontics and Dentofacial Orthopedics Dentistry · Moreno Valley, CA

NPI number 1104915537 Active

Practice location

12900 Perris Blvd, Ste 201
Moreno Valley, CA 92553-4135

Fax (951) 242-0860

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X25349 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1104915537

Kenneth Thomas Harrison, D.D.S's National Provider Identifier is 1104915537, issued on Oct 12, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Moreno Valley, CA. The record was last updated on Jul 8, 2007.