Michael D Clark, DDS
NPI #1164432340 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1164432340
- Entity Type
- Individual
- Name
- Michael D Clark, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1616 S CHERRY ST
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71601-6227
- Phone
- (870) 534-2151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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