Provider Demographics
NPI:1891096798
Name:HARB, CATHERINE (DMD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:HARB
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 LAKE NANCY LN
Mailing Address - Street 2:#323
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-9242
Mailing Address - Country:US
Mailing Address - Phone:563-650-6679
Mailing Address - Fax:
Practice Address - Street 1:12300 S SHORE BLVD
Practice Address - Street 2:SUITE 208
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6237
Practice Address - Country:US
Practice Address - Phone:563-650-6679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019028516122300000X
FLDN20088122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist