Christopher Clark DDS PA

NPI #1255506861 in Bladenboro, North Carolina

Provider Information

NPI Number: 1255506861
Entity Type: Organization
Organization Name: Christopher Clark DDS PA
Primary Specialty: Dentist
Enumeration Date: Apr 24, 2008
Last Updated: Apr 24, 2008

Practice Location

Address: 104 FOURTH ST
City: Bladenboro
State: North Carolina
ZIP Code: 28320
Phone: (910) 863-2377

Authorized Official

Name: CHRISTOPHER J CLARK, DDS
Title: OWNER
Phone: (910) 863-2377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist	122300000X	Primary

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