| NPI | 1619193216 |
|---|---|
| Doing Business As | CLARK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LEON MALCOLM CLARK President 256-350-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4499) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |