| NPI | 1730116112 |
|---|---|
| Former Legal Business Name | DR PATRICIA H CLARK |
| Entity Type | Organization |
| Authorized Contact | PATRICIA H CLARK Dr Patricia H Clark 812-235-1598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2008-07-23 |