Provider Demographics
NPI:1467554774
Name:HARLAN, CURT R (DDS)
Entity Type:Individual
Prefix:DR
First Name:CURT
Middle Name:R
Last Name:HARLAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 WEST GOODWIN
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064
Mailing Address - Country:US
Mailing Address - Phone:830-569-4746
Mailing Address - Fax:830-281-4700
Practice Address - Street 1:714 W GOODWIN ST
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:TX
Practice Address - Zip Code:78064-4018
Practice Address - Country:US
Practice Address - Phone:830-569-4746
Practice Address - Fax:830-281-4700
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX149381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice