KEITH LEE CLARK

GRANBURY, TX
NPI1730262684
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX  19558)
Enumeration Date2006-10-23
Last Update Date2023-03-02
Business Address
Dr. KEITH LEE CLARK D.D.S.
1116 N MEADOWS DR
GRANBURY, TX 76048-1717
Phone number: 817-573-4746
Mailing Address
Dr. KEITH LEE CLARK D.D.S.
3101 RIO GRANDE CIR
CRESSON, TX 76035-4193
Phone number: 318-455-1121