THEODORE GLENN CLARK

WINSTON-SALEM, NC
NPI1144321936
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NC  6127)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
Dr. THEODORE GLENN CLARK DDS
3165 MAPLEWOOD AVENUE
WINSTON-SALEM, NC 27103
Phone number: 336-765-8358
Mailing Address
Dr. THEODORE GLENN CLARK DDS
3165 MAPLEWOOD AVENUE
WINSTON-SALEM, NC 27103
Phone number: 336-765-8358
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