| NPI | 1457892309 |
|---|---|
| Doing Business As | CLARK DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | THERESE MOUSSA Owner 773-622-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027661) |
| Enumeration Date | 2017-03-12 |
| Last Update Date | 2017-03-12 |