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1982620779
GERALD A CLARK
CHARLESTON, WV
NPI
1982620779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WV 3372)
Enumeration Date
2006-07-14
Last Update Date
2007-07-09
Business Address
DR. GERALD A CLARK DDS
1218 VIRGINIA ST E SUITE B
CHARLESTON, WV 25301-2951
Phone number: 304-342-4986
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Mailing Address
DR. GERALD A CLARK DDS
1218 VIRGINIA ST E SUITE B
CHARLESTON, WV 25301
Phone number: 304-342-4986
Copy
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