GERALD A CLARK

CHARLESTON, WV
NPI1982620779
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WV  3372)
Enumeration Date2006-07-14
Last Update Date2007-07-09
Business Address
Dr. GERALD A CLARK dds
1218 VIRGINIA ST E SUITE B
CHARLESTON, WV 25301-2951
Phone number: 304-342-4986
Mailing Address
Dr. GERALD A CLARK dds
1218 VIRGINIA ST E SUITE B
CHARLESTON, WV 25301
Phone number: 304-342-4986