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1407360910
GRACE XINXING CLARK
FORT WAYNE, IN
NPI
1407360910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12012818A)
Enumeration Date
2017-11-20
Last Update Date
2018-01-12
Business Address
Dr. GRACE XINXING CLARK DDS
4716 ILLINOIS RD STE 101
FORT WAYNE, IN 46804-5123
Phone number: 260-432-7970
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Mailing Address
Dr. GRACE XINXING CLARK DDS
5120 BROOKSTONE WAY
INDIANAPOLIS, IN 46268-5417
Phone number: 812-251-6241
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