| NPI | 1558825208 |
|---|---|
| Other Name | PAUL S CLARKE IV DMD PLLC |
| Entity Type | Organization |
| Authorized Contact | AMBER CLARKE Practive Manager 807-777-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2022-07-25 |