DR. Philip K Clark, D.M.D.
NPI #1316026669 in Orange Park, Florida
Provider Information
- NPI Number
- 1316026669
- Entity Type
- Individual
- Name
- DR. Philip K Clark, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Nov 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1590 ISLAND LN STE 12
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32003-4408
- Phone
- (904) 278-7422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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