CHARLES LAWRENCE CLARK

STILLWATER, MN
NPI1558408930
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MN  D8160)
Enumeration Date2007-02-01
Last Update Date2022-07-21
Business Address
-- CHARLES LAWRENCE CLARK DDS
13961 60TH ST N
STILLWATER, MN 55082-1053
Phone number: 651-439-2600
Mailing Address
-- CHARLES LAWRENCE CLARK DDS
PO BOX 2054
INVER GROVE HEIGHTS, MN 55076-8054
Phone number: 507-421-0610
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