NPI | 1073644068 |
---|---|
Doing Business As | MICHAEL E. CLARKE DDSMS |
Entity Type | Organization |
Authorized Contact | MICHAEL ELLSWORTH CLARKE Owner 808-242-0077 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
Enumeration Date | 2007-03-08 |
Last Update Date | 2022-07-21 |