DR. Darrell Adrian Clark, D.D.S.

NPI #1992928006 in Waldorf, Maryland

Provider Information

NPI Number
1992928006
Entity Type
Individual
Name
DR. Darrell Adrian Clark, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
D.D.S.
Enumeration Date
Apr 10, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
12070 OLD LINE CTR
ZIP Code
20602-2513
Phone
(301) 638-0282

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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