Clark Family Dentistry
NPI #1871627380 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1871627380
- Entity Type
- Organization
- Organization Name
- Clark Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 639 LOTUS DR N
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70471-2926
- Phone
- (985) 624-5449
Authorized Official
- Name
- DR. ROBERT J. CLARK, DDS
- Title
- PRESIDENT
- Phone
- (985) 624-5449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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