DR. Shannon Carol Clark, DDS

NPI #1922273481 in Pittsburg, Kansas

Provider Information

NPI Number: 1922273481
Entity Type: Individual
Name: DR. Shannon Carol Clark, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 25, 2008
Last Updated: Apr 17, 2024

Practice Location

Address: 2002 S ROUSE ST
City: Pittsburg
State: Kansas
ZIP Code: 66762-6629
Phone: (620) 231-2871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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