| NPI | 1740521509 |
|---|---|
| Doing Business As | CLARK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | WALEED AJAMU CLARK Owner 202-271-3096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 6354) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |