Individual
DR. WILLIE EARL HARKLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4860 GEN MEYER AVE, SUITE B, NEW ORLEANS, LA 70131-4327
(504) 398-3004
(504) 398-3005
Mailing address
4860 GEN MEYER AVE, SUITE B, NEW ORLEANS, LA 70131-4327
(504) 398-3004
(504) 398-3005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4396
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1843962
—
LA
Enumeration date
12/03/2007
Last updated
12/03/2007
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