| NPI | 1700215175 |
|---|---|
| Doing Business As | CLARK ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | KRISTIN D CLARK Doctor/Owner 501-758-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2022-09-13 |