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1346201431
JASON DREW CLARK
CHARLOTTE, NC
NPI
1346201431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: NC 6966)
Enumeration Date
2006-03-29
Last Update Date
2007-07-08
Business Address
Dr. JASON DREW CLARK D.D.S.
7810 PROVIDENCE RD SUITE 100
CHARLOTTE, NC 28226-2987
Phone number: 704-543-3766
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Mailing Address
Dr. JASON DREW CLARK D.D.S.
7810 PROVIDENCE RD SUITE 100
CHARLOTTE, NC 28226-2987
Phone number: 704-543-3766
Copy
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