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1386758936
PAUL M. CLARK
SHREVEPORT, LA
NPI
1386758936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: LA 2432)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
Dr. PAUL M. CLARK DDS
2120 BERT KOUNS INDUSTRIAL LOOP SUITE D
SHREVEPORT, LA 71118-3351
Phone number: 318-687-9800
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Mailing Address
Dr. PAUL M. CLARK DDS
2120 BERT KOUNS INDUSTRIAL LOOP SUITE D
SHREVEPORT, LA 71118-3351
Phone number: 318-687-9800
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