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1447942859
DALLAS CLARK
CHARLESTON, SC
NPI
1447942859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: SC 10487)
Enumeration Date
2023-05-24
Last Update Date
2023-05-24
Business Address
DALLAS CLARK DMD
173 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-876-7645
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Mailing Address
DALLAS CLARK DMD
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-8905
Phone number:
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