| NPI | 1497116313 |
|---|---|
| Doing Business As | CLARK PEDIATRIC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MARLE CLARK Office Manager 405-503-9615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 8057) |
| Enumeration Date | 2016-03-20 |
| Last Update Date | 2016-03-20 |