C Benson Clark, Dds, PC
NPI #1134503444 in Alexandria, Virginia
Provider Information
- NPI Number
- 1134503444
- Entity Type
- Organization
- Organization Name
- C Benson Clark, Dds, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 16, 2015
- Last Updated
- Sep 11, 2015
Practice Location
- Address
- 5695 KING CENTRE DR
- Address 2
- STE. B-100
- City
- Alexandria
- State
- Virginia
- ZIP Code
- 22315-5744
- Phone
- (703) 719-9824
Authorized Official
- Name
- DR. CLEOPHUS BENSON CLARK, DDS
- Title
- DENTIST OWNER
- Phone
- (703) 719-9824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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