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1992928006
DARRELL ADRIAN CLARK
WALDORF, MD
NPI
1992928006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MD 8308)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Dr. DARRELL ADRIAN CLARK D.D.S.
12070 OLD LINE CTR
WALDORF, MD 20602-2513
Phone number: 301-638-0282
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Mailing Address
Dr. DARRELL ADRIAN CLARK D.D.S.
3102 DUNKAGLE CT
BOWIE, MD 20721-1261
Phone number: 301-218-1622
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