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1144339177
DALE WOODALL CLARK
RUSSELLVILLE, KY
NPI
1144339177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 5933)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Mr. DALE WOODALL CLARK DMD
204 EAST FOURTH ST
RUSSELLVILLE, KY 42276
Phone number: 270-726-7511
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Mailing Address
Mr. DALE WOODALL CLARK DMD
204 EAST FOURTH ST
RUSSELLVILLE, KY 42276
Phone number: 270-726-7511
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