TANNER MARK CLARK

PHILADELPHIA, PA
NPI1679841811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: PA  DS038910)
Enumeration Date2011-12-02
Last Update Date2016-04-25
Business Address
Dr. TANNER MARK CLARK D.M.D.
2203 FITZWATER ST UNIT 1
PHILADELPHIA, PA 19146-1132
Phone number: 208-317-8555
Mailing Address
Dr. TANNER MARK CLARK D.M.D.
2203 FITZWATER ST UNIT 1
PHILADELPHIA, PA 19146-1132
Phone number: 208-317-8555
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