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1619203551
JERRY R CLARK
GREENSBORO, NC
NPI
1619203551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: PA 3338)
Enumeration Date
2009-10-28
Last Update Date
2009-10-28
Business Address
Dr. JERRY R CLARK DDS, MS
1115 W FRIENDLY AVE
GREENSBORO, NC 27401-1844
Phone number: 336-273-2528
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Mailing Address
Dr. JERRY R CLARK DDS, MS
1115 W FRIENDLY AVE
GREENSBORO, NC 27401-1844
Phone number: 336-273-2528
Copy
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