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1386747400
STEPHEN JETER CLARK
LOUISVILLE, KY
NPI
1386747400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: KY 4107)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
Dr. STEPHEN JETER CLARK DMD
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY 501 S. PRESTON ST.
LOUISVILLE, KY 40292-0001
Phone number: 502-852-5128
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Mailing Address
Dr. STEPHEN JETER CLARK DMD
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY 501 S. PRESTON ST.
LOUISVILLE, KY 40292-0001
Phone number: 502-852-5128
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