Clark Family Dental INC
NPI #1689811853 in Chippewa Falls, Wisconsin
Provider Information
- NPI Number
- 1689811853
- Entity Type
- Organization
- Organization Name
- Clark Family Dental INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 9, 2009
- Last Updated
- Jan 9, 2009
Practice Location
- Address
- 777 PARK AVENUE
- City
- Chippewa Falls
- State
- Wisconsin
- ZIP Code
- 54729
- Phone
- (715) 723-0367
Authorized Official
- Name
- DR. JEFFREY MICHAEL CLARK, DMD
- Title
- DENTIST
- Phone
- (715) 723-0367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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