DR. Anthony Clark, D.D.S.

NPI #1164806055 in Fenton, Missouri

Provider Information

NPI Number: 1164806055
Entity Type: Individual
Name: DR. Anthony Clark, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 10, 2015
Last Updated: Jul 10, 2015

Practice Location

Address: 733 OAKWOOD DR
City: Fenton
State: Missouri
ZIP Code: 63026-3535
Phone: (636) 349-1070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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