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1114022720
CLEOPHUS BENSON CLARK
ALEXANDRIA, VA
NPI
1114022720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 3822)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
Dr. CLEOPHUS BENSON CLARK DDS
5695 KING CENTRE DR SUITE B100
ALEXANDRIA, VA 22315-5744
Phone number: 703-719-9824
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Mailing Address
Dr. CLEOPHUS BENSON CLARK DDS
5695 KING CENTRE DR SUITE B100
ALEXANDRIA, VA 22315-5744
Phone number: 703-719-9824
Copy
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