DR. Paul M. Clark JR., DDS

NPI #1386758936 in Shreveport, Louisiana

Provider Information

NPI Number
1386758936
Entity Type
Individual
Name
DR. Paul M. Clark JR., DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Pathology
Credential
DDS
Enumeration Date
Aug 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2120 BERT KOUNS INDUSTRIAL LOOP
Address 2
SUITE D
ZIP Code
71118-3351
Phone
(318) 687-9800

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial PathologyOral and Maxillofacial Pathology

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