KENNETH CLARK

GREEN BAY, WI
NPI1619336229
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: WI  3707-15)
Enumeration Date2016-02-11
Last Update Date2016-02-11
Business Address
Dr. KENNETH CLARK D.D.S.
2524 HILLSIDE HEIGHTS DR
GREEN BAY, WI 54311-6777
Phone number: 920-246-6118
Mailing Address
Dr. KENNETH CLARK D.D.S.
2524 HILLSIDE HEIGHTS DR
GREEN BAY, WI 54311-6777
Phone number: 920-246-6118
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