Elizabeth Jane Clark, D.D.S.
NPI #1407038128 in Old Lyme, Connecticut
Provider Information
- NPI Number
- 1407038128
- Entity Type
- Individual
- Name
- Elizabeth Jane Clark, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Dec 4, 2007
- Last Updated
- Mar 9, 2010
Practice Location
- Address
- 19 HALLS RD STE 218
- City
- Old Lyme
- State
- Connecticut
- ZIP Code
- 06371-1457
- Phone
- (860) 434-7378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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