Carrollwood Dental Group LLC
NPI #1821216060 in Bridgeton, Missouri
Provider Information
- NPI Number
- 1821216060
- Entity Type
- Organization
- Organization Name
- Carrollwood Dental Group LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- DR. VICTOR L CLARK, D.M.D.
- Title
- OWNER
- Phone
- (314) 739-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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