| NPI | 1902071350 |
|---|---|
| Doing Business As | CLINTON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DERWOOD CLARK Manager 910-596-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |