DR. Lindberg Clark, DMD

NPI #1568439107 in Gulfport, Mississippi

Provider Information

NPI Number: 1568439107
Entity Type: Individual
Name: DR. Lindberg Clark, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 2, 2006
Last Updated: Jun 13, 2008

Practice Location

Address: 15024 MARTIN LUTHER KING JR BLVD
City: Gulfport
State: Mississippi
ZIP Code: 39501
Phone: (228) 864-0003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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