STEPHEN PHILLIP CLARK

BERLIN, MD
NPI1679293617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MD  17760)
Additional Taxonomies126800000X Dental Assistant
Enumeration Date2022-08-30
Last Update Date2022-10-06
Business Address
STEPHEN PHILLIP CLARK DDS
11349 SAMUEL BOWEN BLVD
BERLIN, MD 21811-2212
Phone number: 866-273-8204
Mailing Address
STEPHEN PHILLIP CLARK DDS
707 EDGEWATER DR APT 104
SALISBURY, MD 21804-3619
Phone number: 781-927-9597
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