Clark Dental Group, P.a.
NPI #1639264732 in Cedar Hill, Texas
Provider Information
- NPI Number
- 1639264732
- Entity Type
- Organization
- Organization Name
- Clark Dental Group, P.a.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 211 W BELT LINE RD
- City
- Cedar Hill
- State
- Texas
- ZIP Code
- 75104-2066
- Phone
- (972) 291-4281
Authorized Official
- Name
- DR. BRIAN GLENN CLARK, D.D.S.
- Title
- C.E.O/ PRESIDENT
- Phone
- (972) 291-4281
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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