Jessica Clark

NPI #1639958200 in Parkville, Maryland

Provider Information

NPI Number: 1639958200
Entity Type: Individual
Name: Jessica Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Sep 25, 2023
Last Updated: Sep 25, 2023

Practice Location

Address: 11 TERRON CT
City: Parkville
State: Maryland
ZIP Code: 21234-5929
Phone: (443) 704-6984

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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