Dr Clark K J PC
NPI #1598193153 in Pana, Illinois
Provider Information
- NPI Number
- 1598193153
- Entity Type
- Organization
- Organization Name
- Dr Clark K J PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 17, 2013
- Last Updated
- Oct 17, 2013
Practice Location
Authorized Official
- Name
- KELLY CLARK, DDS
- Title
- PRESIDENT
- Phone
- (217) 562-3330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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