Dr. Darrell Adrian Clark D.d.s.

NPI #1285835991 in Clinton, Maryland

Provider Information

NPI Number: 1285835991
Entity Type: Organization
Organization Name: Dr. Darrell Adrian Clark D.d.s.
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: May 30, 2007
Last Updated: Jul 12, 2011

Practice Location

Address: 8839 BRANCH AVE
City: Clinton
State: Maryland
ZIP Code: 20735-2632
Phone: (301) 856-1234

Authorized Official

Name: DR. DARRELL ADRIAN CLARK, D.D.S. P.A.
Title: PRESIDENT
Phone: (301) 856-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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