MR. Dale Woodall Clark, DMD

NPI #1144339177 in Russellville, Kentucky

Provider Information

NPI Number: 1144339177
Entity Type: Individual
Name: MR. Dale Woodall Clark, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 204 EAST FOURTH ST
City: Russellville
State: Kentucky
ZIP Code: 42276
Phone: (270) 726-7511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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