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 |