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 |