| NPI | 1821684929 |
|---|---|
| Doing Business As | SHELLY K. CLARK, DDS DENTISTRY FOR CHILDREN |
| Entity Type | Organization |
| Authorized Contact | SHELLY CLARK Owner 972-291-4281 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |