CLARK D ANDELIN

PHILADELPHIA, PA
NPI1043538705
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: PA  DS038552)
Additional Taxonomies204E00000X Oral & Maxillofacial Surgery
(Licence: PA  MT207339)
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: VT  016.0125577)
Enumeration Date2010-05-05
Last Update Date2017-01-20
Business Address
-- CLARK D ANDELIN DMD, MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-6176
Mailing Address
-- CLARK D ANDELIN DMD, MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-6176