DR. Johnny Michael Clark, D.D.S.

NPI #1851556245 in Hamilton, Texas

Provider Information

NPI Number: 1851556245
Entity Type: Individual
Name: DR. Johnny Michael Clark, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 24, 2008
Last Updated: Jun 9, 2016

Practice Location

Address: 121 N RICE ST
City: Hamilton
State: Texas
ZIP Code: 76531-1857
Phone: (254) 386-8957

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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