Paul A Clark, DDS
NPI #1184872947 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1184872947
- Entity Type
- Individual
- Name
- Paul A Clark, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Sep 5, 2008
- Last Updated
- Sep 5, 2008
Practice Location
- Address
- 639 LOTUS DR N
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70471-2926
- Phone
- (985) 624-5449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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