MICHELLE HIROMI CLARK

FORT CAMPBELL, KY
NPI1427207513
Former NameMICHELLE HIROMI RAY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: AZ  D009580)
Enumeration Date2008-09-12
Last Update Date2020-01-14
Business Address
DR. MICHELLE HIROMI CLARK DMD
2441 21 ST.
FORT CAMPBELL, KY 42223
Phone number: 270-798-8751
Mailing Address
DR. MICHELLE HIROMI CLARK DMD
2441 21 ST.
FORT CAMPBELL, KY 42223
Phone number: 270-798-8751
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