Teresa Marie Clark, R.D.A.

NPI #1689759516 in Fairview, Tennessee

Provider Information

NPI Number
1689759516
Entity Type
Individual
Name
Teresa Marie Clark, R.D.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Assistant
Credential
R.D.A.
Enumeration Date
Oct 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
7218 BIRCH BARK DRIVE
ZIP Code
37062
Phone
(615) 799-5438

Specialties & Taxonomy Codes

Specialty
Dental Assistant

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