JAMES ROBERT CLARK

GLEN ALLEN, VA
NPI1780753053
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: VA  0401007316)
Enumeration Date2006-11-08
Last Update Date2007-07-08
Business Address
-- JAMES ROBERT CLARK
12413 FREMONT DR
GLEN ALLEN, VA 23059-6995
Phone number: 804-364-1170
Mailing Address
-- JAMES ROBERT CLARK
12413 FREMONT DR
GLEN ALLEN, VA 23059-6995
Phone number: 804-364-1170
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