| NPI | 1053568477 |
|---|---|
| Doing Business As | HEATHER E. CLARK |
| Entity Type | Organization |
| Authorized Contact | HEATHER ELISE CLARK President/Dentist 816-232-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2007014394) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |