NPI | 1831524768 |
---|---|
Doing Business As | CLARK FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JANICE D CLARK Dentist/ Owner 919-263-9568 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NC 8703) |
Enumeration Date | 2013-09-11 |
Last Update Date | 2013-09-11 |