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1164806055
ANTHONY CLARK
FENTON, MO
NPI
1164806055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2015021079)
Enumeration Date
2015-07-10
Last Update Date
2015-07-10
Business Address
Dr. ANTHONY CLARK D.D.S.
733 OAKWOOD DR
FENTON, MO 63026-3535
Phone number: 636-349-1070
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Mailing Address
Dr. ANTHONY CLARK D.D.S.
55 THORNHILL DR
WILDWOOD, MO 63025-1216
Phone number: 314-330-2277
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