DR. Michael Edward Clark, D.D.S.

NPI #1891724126 in Frontenac, Kansas

Provider Information

NPI Number: 1891724126
Entity Type: Individual
Name: DR. Michael Edward Clark, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 403 E MCKAY ST
City: Frontenac
State: Kansas
ZIP Code: 66763-2244
Phone: (620) 231-1992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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