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1285854919
RODNEY KEITH CLARK
MACON, GA
NPI
1285854919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 12507)
Enumeration Date
2007-04-26
Last Update Date
2008-09-05
Business Address
Dr. RODNEY KEITH CLARK DDS
1918 FORSYTH STREET
MACON, GA 31201
Phone number: 478-746-0046
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Mailing Address
Dr. RODNEY KEITH CLARK DDS
1918 FORSYTH STREET
MACON, GA 31201
Phone number: 478-746-0046
Copy
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