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1316026669
PHILIP K CLARK
ORANGE PARK, FL
NPI
1316026669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL 12294)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
Dr. PHILIP K CLARK D.M.D.
1590 ISLAND LN STE 12
ORANGE PARK, FL 32003-4408
Phone number: 904-278-7422
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Mailing Address
Dr. PHILIP K CLARK D.M.D.
1590 ISLAND LN STE 12
ORANGE PARK, FL 32003-4408
Phone number: 904-278-7422
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