DR. Joseph R Clark, DDS

NPI #1285936005 in Commerce, Georgia

Provider Information

NPI Number: 1285936005
Entity Type: Individual
Name: DR. Joseph R Clark, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 30, 2010
Last Updated: Nov 30, 2010

Practice Location

Address: 42 GEORGIA AVE
City: Commerce
State: Georgia
ZIP Code: 30529-2320
Phone: (706) 335-4699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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