Individual
DR. JESSE WILSON HARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. D. S.
Contact information
Practice address
371 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-9307
(928) 855-8333
(928) 855-8333
Mailing address
371 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-9307
(928) 855-8333
(928) 855-8333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7857
AZ
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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