CLARK FAMILY DENTISTRY

MANDEVILLE, LA
NPI1891896148
Entity TypeOrganization
Authorized ContactPAUL A CLARK
VP
985-624-5449
Organization Subpart ?No
Primary Taxonomy124Q00000X Dental Hygienist
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: LA  LA4476)
Enumeration Date2006-09-26
Last Update Date2020-08-22
Business Address
CLARK FAMILY DENTISTRY
639 LOTUS DR N
MANDEVILLE, LA 70471
Phone number: 985-624-5449
Mailing Address
CLARK FAMILY DENTISTRY
639 LOTUS DR N
MANDEVILLE, LA 70471
Phone number: 985-624-5449