DR. Gregory Dale Clark, D.D.S.

NPI #1114064797 in Oakwood, Georgia

Provider Information

NPI Number
1114064797
Entity Type
Individual
Name
DR. Gregory Dale Clark, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jan 31, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4212 MCEVER RD
State
Georgia
ZIP Code
30566-2237
Phone
(770) 534-1816

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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