John W. Clark PA

NPI #1326306085 in Bangor, Maine

Provider Information

NPI Number: 1326306085
Entity Type: Organization
Organization Name: John W. Clark PA
Primary Specialty: Dentist
Enumeration Date: May 1, 2012
Last Updated: Dec 13, 2021

Practice Location

Address: 753 STILLWATER AVE
City: Bangor
State: Maine
ZIP Code: 04401-3633
Phone: (207) 990-5887

Authorized Official

Name: DR. JOHN WARREN CLARK, D.D.S.
Title: OWNER
Phone: (207) 564-8197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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