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1992874010
TONY D CLARK
FORT WALTON BEACH, FL
NPI
1992874010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL 593273768)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
-- TONY D CLARK D.M.D.
526 MARY ESTHER CUT OFF NW
FORT WALTON BEACH, FL 32548-4025
Phone number: 850-244-3511
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Mailing Address
-- TONY D CLARK D.M.D.
526 MARY ESTHER CUT OFF NW
FORT WALTON BEACH, FL 32548-4025
Phone number: 850-244-3511
Copy
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