JACK R CLARK

HOMEWOOD, AL
NPI1083840342
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AL  4290)
Enumeration Date2009-06-01
Last Update Date2009-06-01
Business Address
Dr. JACK R CLARK DMD
1856 LANCASTER RD
HOMEWOOD, AL 35209-4114
Phone number: 205-871-2591
Mailing Address
Dr. JACK R CLARK DMD
1856 LANCASTER RD
HOMEWOOD, AL 35209-4114
Phone number: 205-871-2591
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