Kaitlin Elaine Clark

NPI #1518535103 in Auburn, Maine

Provider Information

NPI Number: 1518535103
Entity Type: Individual
Name: Kaitlin Elaine Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 11, 2021
Last Updated: Jun 11, 2021

Practice Location

Address: 34 CENTER ST
City: Auburn
State: Maine
ZIP Code: 04210-6001
Phone: (207) 312-5422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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