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1336162569
GERALD L CLARK
MIDLOTHIAN, TX
NPI
1336162569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 13730)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Dr. GERALD L CLARK D.D.S.
103 S 7TH ST
MIDLOTHIAN, TX 76065-3211
Phone number: 972-775-2377
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Mailing Address
Dr. GERALD L CLARK D.D.S.
PO BOX 207
MIDLOTHIAN, TX 76065-0207
Phone number: 972-775-2377
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