| NPI | 1861140212 |
|---|---|
| Doing Business As | CLARK DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | BRIAN CLARK Owner/Dentist 972-291-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |