DR. Charlie E Clark, DMD
NPI #1417103482 in Surprise, Arizona
Provider Information
- NPI Number
- 1417103482
- Entity Type
- Individual
- Name
- DR. Charlie E Clark, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Aug 11, 2008
- Last Updated
- Aug 4, 2009
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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