| NPI | 1144228875 |
|---|---|
| Doing Business As | CLARK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DANIEL J. CLARK Owner 937-393-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 18843) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 15180) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2010-03-15 |