DR. Charles Larry Clark JR., D.M.D

NPI #1083866222 in Albany, Georgia

Provider Information

NPI Number
1083866222
Entity Type
Individual
Name
DR. Charles Larry Clark JR., D.M.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D
Enumeration Date
Oct 21, 2008
Last Updated
Oct 21, 2008

Practice Location

Address
2415 GILLIONVILLE RD
City
Albany
State
Georgia
ZIP Code
31707-3022
Phone
(229) 432-6751

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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