BENNIE CLARK

JACKSONVILLE, FL
NPI1437173697
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN14137)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
-- BENNIE CLARK DMD
5475 SOUTEL DRIVE
JACKSONVILLE, FL 32219
Phone number: 904-764-4576
Mailing Address
-- BENNIE CLARK DMD
5475 SOUTEL DRIVE
JACKSONVILLE, FL 32219
Phone number: 904-764-4576
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