JERRY R CLARK

GREENSBORO, NC
NPI1619203551
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: PA  3338)
Enumeration Date2009-10-28
Last Update Date2009-10-28
Business Address
Dr. JERRY R CLARK DDS, MS
1115 W FRIENDLY AVE
GREENSBORO, NC 27401-1844
Phone number: 336-273-2528
Mailing Address
Dr. JERRY R CLARK DDS, MS
1115 W FRIENDLY AVE
GREENSBORO, NC 27401-1844
Phone number: 336-273-2528