Lisa M Clark, DMD

NPI #1356453260 in Bonham, Texas

Provider Information

NPI Number: 1356453260
Entity Type: Individual
Name: Lisa M Clark, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: BONHAM FAMILY DENTISTRY
Address 2: 101 E 9TH STREET
City: Bonham
State: Texas
ZIP Code: 75418
Phone: (903) 583-8023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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