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1730262684
KEITH LEE CLARK
GRANBURY, TX
NPI
1730262684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX 19558)
Enumeration Date
2006-10-23
Last Update Date
2023-03-02
Business Address
Dr. KEITH LEE CLARK D.D.S.
1116 N MEADOWS DR
GRANBURY, TX 76048-1717
Phone number: 817-573-4746
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Mailing Address
Dr. KEITH LEE CLARK D.D.S.
3101 RIO GRANDE CIR
CRESSON, TX 76035-4193
Phone number: 318-455-1121
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