Janice D Clark, Dds, PA

NPI #1831524768 in Youngsville, North Carolina

Provider Information

NPI Number: 1831524768
Entity Type: Organization
Organization Name: Janice D Clark, Dds, PA
Primary Specialty: Dentist
Enumeration Date: Sep 11, 2013
Last Updated: Sep 11, 2013

Practice Location

Address: 680 US HWY 1 N
Address 2: SUITE 500
City: Youngsville
State: North Carolina
ZIP Code: 27596
Phone: (919) 263-9568

Authorized Official

Name: DR. JANICE D CLARK, DDS
Title: DENTIST/ OWNER
Phone: (919) 263-9568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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