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1376729756
JESSE D CLARK
WILMINGTON, NC
NPI
1376729756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 8520)
Enumeration Date
2008-01-15
Last Update Date
2008-01-15
Business Address
-- JESSE D CLARK DMD
1611 GREENFIELD ST
WILMINGTON, NC 28401-6455
Phone number: 910-342-9210
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Mailing Address
-- JESSE D CLARK DMD
1611 GREENFIELD ST
WILMINGTON, NC 28401-6455
Phone number: 910-342-9210
Copy
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