| NPI | 1326164963 |
|---|---|
| Former Legal Business Name | VARVARA CLARK DDS |
| Entity Type | Organization |
| Authorized Contact | MICHELE KRZACZYK Office Manager 215-822-6234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS030518L) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-09-04 |