DR. Douglas Craig Clark, DMD

NPI #1528211786 in Covington, Kentucky

Provider Information

NPI Number: 1528211786
Entity Type: Individual
Name: DR. Douglas Craig Clark, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 30, 2008
Last Updated: Oct 30, 2008

Practice Location

Address: 118 W 5TH ST
City: Covington
State: Kentucky
ZIP Code: 41011-1481
Phone: (859) 630-3281

Specialties & Taxonomy Codes

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

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