GRACE XINXING CLARK

FORT WAYNE, IN
NPI1407360910
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: IN  12012818A)
Enumeration Date2017-11-20
Last Update Date2018-01-12
Business Address
DR. GRACE XINXING CLARK DDS
4716 ILLINOIS RD STE 101
FORT WAYNE, IN 46804-5123
Phone number: 260-432-7970
Mailing Address
DR. GRACE XINXING CLARK DDS
5120 BROOKSTONE WAY
INDIANAPOLIS, IN 46268-5417
Phone number: 812-251-6241
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