CLEOPHUS BENSON CLARK

ALEXANDRIA, VA
NPI1114022720
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: VA  3822)
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
Dr. CLEOPHUS BENSON CLARK DDS
5695 KING CENTRE DR SUITE B100
ALEXANDRIA, VA 22315-5744
Phone number: 703-719-9824
Mailing Address
Dr. CLEOPHUS BENSON CLARK DDS
5695 KING CENTRE DR SUITE B100
ALEXANDRIA, VA 22315-5744
Phone number: 703-719-9824