JERRY CARL CLARKE

SUFFOLK, VA
NPI1356567010
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist Periodontics
(Licence: VA  3823)
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
DR. JERRY CARL CLARKE DDS
2490 PRUDEN BLVD
SUFFOLK, VA 23434-4206
Phone number: 757-539-9398
Mailing Address
DR. JERRY CARL CLARKE DDS
510 CAVALIER DR
VIRGINIA BEACH, VA 23451-3834
Phone number: 757-428-3477
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