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Organization
TRACY M. CLARK DDS INC
Active
Organization
TRACY M. CLARK DDS INC
Active
Other names
West Houston Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY MANNING CLARK D.D.S. (PRESIDENT)
(281) 558-3440
Entity
Organization
Contact information
Practice address
1500 S DAIRY ASHFORD ST, 1500 SOUTH DAIRY ASHFORD STE. 114, HOUSTON, TX 77077-3854
(281) 558-3440
(281) 558-3448
Mailing address
1500 S DAIRY ASHFORD ST, 1500 SOUTH DAIRY ASHFORD STE. 114, HOUSTON, TX 77077-3854
(281) 558-3440
(281) 558-3448
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
15603
TX
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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