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Organization

JOHN W. CLARK PA

Active
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Organization

JOHN W. CLARK PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN W CLARK DDS (PRESIDENT)
(207) 564-8197
Entity
Organization

Contact information

Practice address
753 STILLWATER AVE, BANGOR, ME 04401-3633
(207) 990-5887
(207) 307-7002
Mailing address
753 STILLWATER AVE, BANGOR, ME 04401-3633
(207) 990-5887
(207) 564-8489

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
3365
ME

Other

Enumeration date
10/14/2015
Last updated
01/15/2025
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