ROGER E CLARK

LEBANON, OH
NPI1821202383
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OH  13795)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
-- ROGER E CLARK D.D.S.
736 COLUMBUS AVE
LEBANON, OH 45036-1608
Phone number: 513-932-1370
Mailing Address
-- ROGER E CLARK D.D.S.
736 COLUMBUS AVE
LEBANON, OH 45036-1608
Phone number: 513-932-1370
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