NPI | 1548571078 |
---|---|
Other Name | KIRKLAND W. CLARK, III, D.M.D. |
Entity Type | Organization |
Authorized Contact | KIRKLAND WOODRUFF CLARK Owner/Dentist 803-534-5550 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4457) |
Enumeration Date | 2010-06-30 |
Last Update Date | 2010-06-30 |