DR. Criston C. Clark, D.M.D.

NPI #1740420629 in Ringgold, Georgia

Provider Information

NPI Number: 1740420629
Entity Type: Individual
Name: DR. Criston C. Clark, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Mar 4, 2009
Last Updated: Mar 4, 2009

Practice Location

Address: 7102 NASHVILLE ST
City: Ringgold
State: Georgia
ZIP Code: 30736-2446
Phone: (706) 965-7272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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