Provider Demographics
NPI:1053492355
Name:HARNER, ANDREW T (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:T
Last Name:HARNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18700 MAIN ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1706
Mailing Address - Country:US
Mailing Address - Phone:714-842-9933
Mailing Address - Fax:714-842-6593
Practice Address - Street 1:18700 MAIN ST
Practice Address - Street 2:SUITE 209
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1706
Practice Address - Country:US
Practice Address - Phone:714-842-9933
Practice Address - Fax:714-842-6593
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA500621223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics